SUSAN H MITZE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003093

License Status

NOT RENEWED

Business

First Name

SUSAN H

Last Name

MITZE

Business Name

SUSAN H MITZE

Original Issue Date

12/24/1979

Effective Date

09/29/2022

Expiration Date

09/30/2024

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

02/27/2025