LUCY DIANE SAMS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019760

License Status

ACTIVE

Business

First Name

LUCY

Middle

DIANE

Last Name

SAMS

Business Name

LUCY DIANE SAMS

Original Issue Date

03/06/2013

Effective Date

09/21/2024

Expiration Date

09/30/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/21/2024