License holder summary

MICHELLE MARIE TAVERA is a Physical Therapist licensed to practice in Pennsylvania. The address on file for MICHELLE MARIE TAVERA is LAKE GENEVA WI 53147. This licensed professional license is not current. The license was granted 06/18/1993 and expired on 12/31/1994.

Pennsylvania

Department of State

MICHELLE MARIE TAVERA
Physical Therapist
License number
PT002886E
Date granted
06/18/1993
Date expires
12/31/1994
Class
Physical Therapist
Status
Expired
Address
LAKE GENEVA WI 53147
palicensing.org
ID 17294956
LAST UPDATED 2026-06-05 06:02:22 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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