MICHAEL R GREEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004781

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

GREEN

Business Name

MICHAEL R GREEN

Original Issue Date

07/03/2007

Effective Date

07/13/2011

Expiration Date

09/30/2013

City

DAVENPORT

State

Zip

52806

County

IOWA

Ever Disciplined

LastModifiedDate

11/12/2013