AMANDA J WADE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012136

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

WADE

Business Name

AMANDA J WADE

Original Issue Date

09/27/2000

Effective Date

08/19/2024

Expiration Date

09/30/2026

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

08/19/2024