Wisconsin
Department of Safety and Professional Services
Tatum, Omar
Physical Therapist Assistant
License number
1198-19
Date granted
06/17/2005
Date expires
02/28/2015
Class
Physical Therapist Assistant
Status
Active
wisconsinlicensing.org
ID 12757466
LAST UPDATED 2024-02-12 21:03:34 UTC
LAST UPDATED 2024-02-12 21:03:34 UTC
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