MICHELLE L WIRTH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008209

License Status

NOT RENEWED

Business

First Name

MICHELLE L

Last Name

WIRTH

Business Name

MICHELLE L WIRTH

Original Issue Date

06/01/1994

Effective Date

06/01/1994

Expiration Date

09/30/1996

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/14/2005