AMY SUSAN RICHARDSON - Physical Therapist License in Wisconsin | # 160006543

AMY SUSAN RICHARDSON

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006543

License Status

NOT RENEWED

Business

N

First Name

AMY

Middle

SUSAN

Last Name

RICHARDSON

Business Name

AMY SUSAN RICHARDSON

Original Issue Date

08/20/2013

Effective Date

09/28/2015

Expiration Date

09/30/2017

State

WI

Ever Disciplined

N

LastModifiedDate

11/01/2017