MICHELLE RENEA BANIC - Physical Therapist License in Michigan | # 160003619

MICHELLE RENEA BANIC

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003619

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

RENEA

Last Name

BANIC

Business Name

MICHELLE RENEA BANIC

Original Issue Date

06/21/2000

Effective Date

08/14/2009

Expiration Date

09/30/2011

State

MI

Ever Disciplined

N

LastModifiedDate

11/04/2011