MYRA M DEY Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002230

License Status

INACTIVE

Business

First Name

MYRA M

Last Name

DEY

Business Name

MYRA M DEY

Original Issue Date

10/07/1976

Effective Date

10/07/1976

Expiration Date

09/30/2000

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005