AMANDA NICOLE VANDERVELDE - Physical Therapist License in Illinois | # 070018121

AMANDA NICOLE VANDERVELDE

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018121

License Status

ACTIVE

Business

N

First Name

AMANDA

Middle

NICOLE

Last Name

VANDERVELDE

Business Name

AMANDA NICOLE VANDERVELDE

Original Issue Date

09/03/2010

Effective Date

07/03/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

07/03/2024