SAMANTHA H SAMP Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027011

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

SAMP

Business Name

SAMANTHA H SAMP

Original Issue Date

09/29/2022

Effective Date

09/09/2024

Expiration Date

09/30/2026

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

09/09/2024