VIVIAN AMM BUMPASS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006973

License Status

INACTIVE

Business

First Name

VIVIAN AMM

Last Name

BUMPASS

Business Name

VIVIAN AMM BUMPASS

Original Issue Date

05/07/1992

Effective Date

09/26/2016

Expiration Date

09/30/2018

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

07/07/2018