MICHELLE P STANDARD - Physical Therapist License in Illinois | # 070011670

MICHELLE P STANDARD

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011670

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

P

Last Name

STANDARD

Business Name

MICHELLE P STANDARD

Original Issue Date

12/22/1999

Effective Date

09/12/2012

Expiration Date

09/30/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014