AMBER D GODDARD Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005690

License Status

ACTIVE

Business

First Name

AMBER

Middle

Last Name

GODDARD

Business Name

AMBER D GODDARD

Original Issue Date

07/13/2011

Effective Date

08/09/2025

Expiration Date

09/30/2027

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

08/09/2025