DUSTINA L AMMON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019386

License Status

NOT RENEWED

Business

First Name

DUSTINA

Middle

Last Name

AMMON

Business Name

DUSTINA L AMMON

Original Issue Date

08/17/2012

Effective Date

10/01/2018

Expiration Date

09/30/2020

City

OMAHA

State

Zip

68142

County

WASHINGTON

Ever Disciplined

LastModifiedDate

01/14/2021