PAMELA S MANDRELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001099

License Status

NOT RENEWED

Business

First Name

PAMELA S

Last Name

MANDRELL

Business Name

PAMELA S MANDRELL

Original Issue Date

12/05/1991

Effective Date

12/23/2021

Expiration Date

09/30/2023

City

WALTONVILLE

State

Zip

62894

County

JEFFERSON

Ever Disciplined

LastModifiedDate

02/02/2024