RANDAL W MILLER - Physical Therapist License in Illinois | # 160002812

RANDAL W MILLER

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002812

License Status

INACTIVE

Business

N

First Name

RANDAL

Middle

W

Last Name

MILLER

Business Name

RANDAL W MILLER

Original Issue Date

09/26/1997

Effective Date

08/14/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

01/04/2022