TAMARA E GARDNER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014699

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

Last Name

GARDNER

Business Name

TAMARA E GARDNER

Original Issue Date

09/29/2005

Effective Date

08/05/2016

Expiration Date

09/30/2018

City

ALEXANDRIA

State

Zip

22306

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

12/05/2018