AGNITA L SAMUELS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001706

License Status

INACTIVE

Business

First Name

AGNITA L

Last Name

SAMUELS

Business Name

AGNITA L SAMUELS

Original Issue Date

06/16/1993

Effective Date

06/16/1993

Expiration Date

09/30/2003

City

BRADENTON

State

Zip

34210

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/17/2005