MISTEN J MAGER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012704

License Status

NOT RENEWED

Business

First Name

MISTEN

Middle

Last Name

MAGER

Business Name

MISTEN J MAGER

Original Issue Date

10/17/2001

Effective Date

08/13/2010

Expiration Date

09/30/2012

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

01/16/2013