AMANDA MARIE SEIDL Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006621

License Status

INACTIVE

Business

First Name

AMANDA

Middle

MARIE

Last Name

SEIDL

Business Name

AMANDA MARIE SEIDL

Original Issue Date

10/31/2013

Effective Date

09/25/2019

Expiration Date

09/30/2021

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/25/2019