MILEVA VIDAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000733

License Status

NOT RENEWED

Business

First Name

MILEVA

Last Name

VIDAN

Business Name

MILEVA VIDAN

Original Issue Date

10/22/1991

Effective Date

10/22/1991

Expiration Date

09/30/1993

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/14/2005