AMANDA FUNK O'MALLEY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019029

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

FUNK

Last Name

O'MALLEY

Business Name

AMANDA FUNK O'MALLEY

Original Issue Date

04/02/2012

Effective Date

08/30/2012

Expiration Date

09/30/2014

City

EPHRATA

State

Zip

17522

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

11/17/2014