PAMELA S SIEBERT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001519

License Status

NOT RENEWED

Business

First Name

PAMELA S

Last Name

SIEBERT

Business Name

PAMELA S SIEBERT

Original Issue Date

09/25/1992

Effective Date

09/25/1992

Expiration Date

09/30/2005

City

CARLOCK

State

Zip

61725

County

WOODFORD

Ever Disciplined

LastModifiedDate

10/17/2005