AMY LYNN PENTECOST Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017376

License Status

ACTIVE

Business

First Name

AMY

Middle

LYNN

Last Name

PENTECOST

Business Name

AMY LYNN PENTECOST

Original Issue Date

08/19/2009

Effective Date

09/20/2024

Expiration Date

09/30/2026

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/20/2024