LAUREN M AMIZICH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008134

License Status

ACTIVE

Business

First Name

LAUREN

Middle

Last Name

AMIZICH

Business Name

LAUREN M AMIZICH

Original Issue Date

12/14/2017

Effective Date

07/02/2025

Expiration Date

09/30/2027

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

08/29/2025