JENNIFER M MILLER - Physical Therapist License in Wisconsin | # 160004302

JENNIFER M MILLER

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004302

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

M

Last Name

MILLER

Business Name

JENNIFER M MILLER

Original Issue Date

06/16/2004

Effective Date

06/16/2004

Expiration Date

09/30/2005

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005