AMBER J GRIMM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003877

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

Last Name

GRIMM

Business Name

AMBER J GRIMM

Original Issue Date

08/24/2001

Effective Date

09/30/2005

Expiration Date

09/30/2007

City

GOODFIELD

State

Zip

61742

County

WOODFORD

Ever Disciplined

LastModifiedDate

03/25/2008