AMY JOY CHAMPLIN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025672

License Status

INACTIVE

Business

First Name

AMY

Middle

JOY

Last Name

CHAMPLIN

Business Name

AMY JOY CHAMPLIN

Original Issue Date

12/04/2020

Effective Date

12/04/2020

Expiration Date

09/30/2022

City

KENOSHA

State

Zip

53142

Ever Disciplined

LastModifiedDate

07/04/2022