AMANDA AILEEN CARPENTER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014055

License Status

INACTIVE

Business

First Name

AMANDA

Middle

AILEEN

Last Name

CARPENTER

Business Name

AMANDA AILEEN CARPENTER

Original Issue Date

08/09/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

WARRENSBURG

State

Zip

12885

County

NEW YORK

Ever Disciplined

LastModifiedDate

07/13/2006