MIRANDA J GRONEWOLD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008755

License Status

NOT RENEWED

Business

First Name

MIRANDA

Middle

Last Name

GRONEWOLD

Business Name

MIRANDA J GRONEWOLD

Original Issue Date

10/11/2019

Effective Date

08/12/2023

Expiration Date

09/30/2025

City

DANVILLE

State

Zip

52623

Ever Disciplined

LastModifiedDate

12/30/2025