AMY L CLEVENGER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001822

License Status

NOT RENEWED

Business

First Name

AMY L

Last Name

CLEVENGER

Business Name

AMY L CLEVENGER

Original Issue Date

10/20/1993

Effective Date

10/20/1993

Expiration Date

09/30/1995

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/14/2005