EDMUND SIATON MIRO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019516

License Status

NOT RENEWED

Business

First Name

EDMUND

Middle

SIATON

Last Name

MIRO

Business Name

EDMUND SIATON MIRO

Original Issue Date

09/17/2012

Effective Date

09/17/2012

Expiration Date

09/30/2014

City

DELRAY BEACH

State

Zip

33484

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/17/2014