MARC STEVEN MIRISCH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023685

License Status

NOT RENEWED

Business

First Name

MARC

Middle

STEVEN

Last Name

MIRISCH

Business Name

MARC STEVEN MIRISCH

Original Issue Date

07/02/2018

Effective Date

08/26/2020

Expiration Date

09/30/2022

City

SAN DIEGO

State

Zip

92127

Ever Disciplined

LastModifiedDate

11/28/2022