AMANDA Y NAGEL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003120

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

NAGEL

Business Name

AMANDA Y NAGEL

Original Issue Date

10/01/1998

Effective Date

09/25/2017

Expiration Date

09/30/2019

City

LEBANON

State

Zip

62254

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/13/2020