MANDY E DONNELLY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005687

License Status

NOT RENEWED

Business

First Name

MANDY

Middle

Last Name

DONNELLY

Business Name

MANDY E DONNELLY

Original Issue Date

07/07/2011

Effective Date

10/01/2019

Expiration Date

01/31/2022

City

WILMINGTON

State

Zip

28405

County

WILL

Ever Disciplined

LastModifiedDate

05/19/2022