MARYBETH AMBROSE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002119

License Status

ACTIVE

Business

First Name

MARYBETH

Last Name

AMBROSE

Business Name

MARYBETH AMBROSE

Original Issue Date

01/31/1995

Effective Date

08/15/2025

Expiration Date

09/30/2027

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/15/2025