TARA J JEPSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013926

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

JEPSON

Business Name

TARA J JEPSON

Original Issue Date

05/24/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

NORTH LOGAN

State

Zip

84341

County

UTAH

Ever Disciplined

LastModifiedDate

11/08/2006