MIKAYLA D QUEEN - Physical Therapist License in Illinois | # 160007804

MIKAYLA D QUEEN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007804

License Status

NOT RENEWED

Business

N

First Name

MIKAYLA

Middle

D

Last Name

QUEEN

Business Name

MIKAYLA D QUEEN

Original Issue Date

02/09/2017

Effective Date

08/07/2017

Expiration Date

09/30/2019

State

IL

Ever Disciplined

N

LastModifiedDate

01/13/2020