AMY GOFFMAN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001938

License Status

INACTIVE

Business

First Name

AMY

Last Name

GOFFMAN

Business Name

AMY GOFFMAN

Original Issue Date

12/22/1974

Effective Date

12/22/1974

Expiration Date

09/30/1988

City

CHARLOTTESVILLE

State

Zip

22901

County

VIRGINIA

Ever Disciplined

LastModifiedDate

10/14/2005