AMY L KOUDELKA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010691

License Status

ACTIVE

Business

First Name

AMY

Middle

Last Name

KOUDELKA

Business Name

AMY L KOUDELKA

Original Issue Date

07/10/1998

Effective Date

09/24/2024

Expiration Date

09/30/2026

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

09/24/2024