AMBER JEAN BURKHART - Physical Therapist License in Indiana | # 160006561

AMBER JEAN BURKHART

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006561

License Status

NOT RENEWED

Business

N

First Name

AMBER

Middle

JEAN

Last Name

BURKHART

Business Name

AMBER JEAN BURKHART

Original Issue Date

09/13/2013

Effective Date

09/13/2013

Expiration Date

09/30/2015

State

IN

Ever Disciplined

N

LastModifiedDate

11/03/2015