MARTHA E AMBROSE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003261

License Status

NOT RENEWED

Business

First Name

MARTHA E

Last Name

AMBROSE

Business Name

MARTHA E AMBROSE

Original Issue Date

10/20/1980

Effective Date

10/20/1980

Expiration Date

08/01/1982

City

MIDWEST CITY

State

Zip

73110

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

10/14/2005