AMBER L HANSEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002413

License Status

NOT RENEWED

Business

First Name

AMBER L

Last Name

HANSEN

Business Name

AMBER L HANSEN

Original Issue Date

02/08/1996

Effective Date

02/08/1996

Expiration Date

09/30/1999

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/14/2005