MICHELLE P STANDARD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011670

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

STANDARD

Business Name

MICHELLE P STANDARD

Original Issue Date

12/22/1999

Effective Date

09/12/2012

Expiration Date

09/30/2014

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

11/17/2014