AMY L BOONE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000864

License Status

INACTIVE

Business

First Name

AMY L

Last Name

BOONE

Business Name

AMY L BOONE

Original Issue Date

11/02/1991

Effective Date

08/21/2013

Expiration Date

09/30/2015

City

GLASFORD

State

Zip

61533

County

PEORIA

Ever Disciplined

LastModifiedDate

07/06/2015