BRANDIE M MILLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015420

License Status

NOT RENEWED

Business

First Name

BRANDIE

Middle

Last Name

MILLER

Business Name

BRANDIE M MILLER

Original Issue Date

11/15/2006

Effective Date

07/11/2016

Expiration Date

09/30/2018

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

12/05/2018