TAMMY M PANKONIE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004571

License Status

NOT RENEWED

Business

First Name

TAMMY

Middle

Last Name

PANKONIE

Business Name

TAMMY M PANKONIE

Original Issue Date

04/11/2006

Effective Date

07/05/2007

Expiration Date

09/30/2009

City

KENOSHA

State

Zip

53143

Ever Disciplined

LastModifiedDate

11/04/2009