MITCHELL D MILLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001219

License Status

NOT RENEWED

Business

First Name

MITCHELL D

Last Name

MILLER

Business Name

MITCHELL D MILLER

Original Issue Date

12/19/1991

Effective Date

07/24/2017

Expiration Date

09/30/2019

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/13/2020