SAMANTHA JO SIMMONS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008031

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

SIMMONS

Business Name

SAMANTHA JO SIMMONS

Original Issue Date

09/28/2017

Effective Date

09/30/2019

Expiration Date

01/31/2022

City

BARTONVILLE

State

Zip

61607

County

INDIANA

Ever Disciplined

LastModifiedDate

05/19/2022