AMIE J IRVING Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003073

License Status

INACTIVE

Business

First Name

AMIE

Middle

Last Name

IRVING

Business Name

AMIE J IRVING

Original Issue Date

09/15/1998

Effective Date

07/05/2007

Expiration Date

09/30/2009

City

GROVELAND

State

Zip

61535

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/09/2009