AMANDA MARIE KELLY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012521

License Status

ACTIVE

Business

First Name

AMANDA

Middle

MARIE

Last Name

KELLY

Business Name

AMANDA MARIE KELLY

Original Issue Date

06/21/2001

Effective Date

08/22/2024

Expiration Date

09/30/2026

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

08/22/2024