MIRIAM OCILLOS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014789

License Status

ACTIVE

Business

First Name

MIRIAM

Last Name

OCILLOS

Business Name

MIRIAM OCILLOS

Original Issue Date

12/21/2005

Effective Date

07/09/2024

Expiration Date

09/30/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/09/2024