MARK L MILLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002218

License Status

NOT RENEWED

Business

First Name

MARK L

Last Name

MILLER

Business Name

MARK L MILLER

Original Issue Date

06/08/1976

Effective Date

06/08/1976

Expiration Date

09/30/1990

City

STREATOR

State

Zip

61364

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/14/2005