MICHAEL D KING Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014252

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

KING

Business Name

MICHAEL D KING

Original Issue Date

12/10/2004

Effective Date

12/10/2004

Expiration Date

09/30/2006

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

11/08/2006