AMANDA M BURTRAW Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019426

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

BURTRAW

Business Name

AMANDA M BURTRAW

Original Issue Date

08/21/2012

Effective Date

09/24/2014

Expiration Date

09/30/2016

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

11/26/2016