AMY SHEPARD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024070

License Status

NOT RENEWED

Business

First Name

AMY

Last Name

SHEPARD

Business Name

AMY SHEPARD

Original Issue Date

11/07/2018

Effective Date

08/10/2020

Expiration Date

09/30/2022

City

TERRE HAUTE

State

Zip

47803

Ever Disciplined

LastModifiedDate

11/28/2022