MICHAEL D SHORT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002047

License Status

NOT RENEWED

Business

First Name

MICHAEL D

Last Name

SHORT

Business Name

MICHAEL D SHORT

Original Issue Date

11/07/1994

Effective Date

08/31/2023

Expiration Date

09/30/2025

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

12/30/2025