DOUGLAS R MILLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002692

License Status

NOT RENEWED

Business

First Name

DOUGLAS R

Last Name

MILLER

Business Name

DOUGLAS R MILLER

Original Issue Date

11/27/1978

Effective Date

09/01/2022

Expiration Date

09/30/2024

City

CRYSTAL LAKE

State

Zip

60012

Ever Disciplined

LastModifiedDate

02/27/2025