AMY T LONG Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013376

License Status

ACTIVE

Business

First Name

AMY

Middle

Last Name

LONG

Business Name

AMY T LONG

Original Issue Date

02/14/2003

Effective Date

08/07/2024

Expiration Date

09/30/2026

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/07/2024