MICHAEL S OTTO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001919

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

OTTO

Business Name

MICHAEL S OTTO

Original Issue Date

08/29/1994

Effective Date

08/29/1994

Expiration Date

09/30/2003

City

ALHAMBRA

State

Zip

62001

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005