JESSICA R MILLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014251

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

MILLER

Business Name

JESSICA R MILLER

Original Issue Date

12/09/2004

Effective Date

12/09/2004

Expiration Date

09/30/2006

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

11/08/2006