AMANDA M FITZGERALD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023065

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

FITZGERALD

Business Name

AMANDA M FITZGERALD

Original Issue Date

08/11/2017

Effective Date

08/11/2017

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60647

Ever Disciplined

LastModifiedDate

12/05/2018