MICHELLE L WIRTH - Physical Therapist License in Illinois | # 070008209

MICHELLE L WIRTH

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008209

License Status

NOT RENEWED

Business

N

First Name

MICHELLE L

Last Name

WIRTH

Business Name

MICHELLE L WIRTH

Original Issue Date

06/01/1994

Effective Date

06/01/1994

Expiration Date

09/30/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005