MIRIAM R WOOLBRIGHT Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002003

License Status

INACTIVE

Business

First Name

MIRIAM R

Last Name

WOOLBRIGHT

Business Name

MIRIAM R WOOLBRIGHT

Original Issue Date

09/26/1994

Effective Date

09/10/2009

Expiration Date

09/30/2011

City

NEW BADEN

State

Zip

62265

County

CLINTON

Ever Disciplined

LastModifiedDate

07/07/2011