LACEY CHANTEL BANDEMER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006673

License Status

NOT RENEWED

Business

First Name

LACEY

Middle

CHANTEL

Last Name

BANDEMER

Business Name

LACEY CHANTEL BANDEMER

Original Issue Date

12/03/2013

Effective Date

09/26/2017

Expiration Date

09/30/2019

City

LIBBY

State

Zip

59923

Ever Disciplined

LastModifiedDate

01/13/2020