AMANDA N CLEMENTZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013744

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

CLEMENTZ

Business Name

AMANDA N CLEMENTZ

Original Issue Date

12/19/2003

Effective Date

08/14/2014

Expiration Date

09/30/2016

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/26/2016