AMBER JEAN BURKHART Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006561

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

JEAN

Last Name

BURKHART

Business Name

AMBER JEAN BURKHART

Original Issue Date

09/13/2013

Effective Date

09/13/2013

Expiration Date

09/30/2015

City

MONROE CITY

State

Zip

47557

County

INDIANA

Ever Disciplined

LastModifiedDate

11/03/2015