AMY D OGDEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000657

License Status

NOT RENEWED

Business

First Name

AMY D

Last Name

OGDEN

Business Name

AMY D OGDEN

Original Issue Date

10/02/1991

Effective Date

08/05/2015

Expiration Date

09/30/2017

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

11/01/2017