AMY LEE HAYNES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019786

License Status

NOT RENEWED

Business

First Name

AMY

Middle

LEE

Last Name

HAYNES

Business Name

AMY LEE HAYNES

Original Issue Date

04/04/2013

Effective Date

07/25/2014

Expiration Date

09/30/2016

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/26/2016