BRIAN MARK MILLER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007122

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

MARK

Last Name

MILLER

Business Name

BRIAN MARK MILLER

Original Issue Date

03/08/2004

Effective Date

12/17/2013

Expiration Date

12/31/2015

City

MONTGOMERY

State

Zip

60538

County

KENDALL

Ever Disciplined

LastModifiedDate

02/08/2016