THERESA M MILLER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001200

License Status

ACTIVE

Business

First Name

THERESA M

Last Name

MILLER

Business Name

THERESA M MILLER

Original Issue Date

12/23/1991

Effective Date

09/14/2025

Expiration Date

09/30/2027

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

09/14/2025