AMY SUSAN RICHARDSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006543

License Status

NOT RENEWED

Business

First Name

AMY

Middle

SUSAN

Last Name

RICHARDSON

Business Name

AMY SUSAN RICHARDSON

Original Issue Date

08/20/2013

Effective Date

09/28/2015

Expiration Date

09/30/2017

City

RACINE

State

Zip

53405

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017