PAUL JEROME MIRANDA - Physical Therapist License in Illinois | # 070013575

PAUL JEROME MIRANDA

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013575

License Status

ACTIVE

Business

N

First Name

PAUL

Middle

JEROME

Last Name

MIRANDA

Business Name

PAUL JEROME MIRANDA

Original Issue Date

08/04/2003

Effective Date

07/06/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

07/06/2024