RANDAL W MILLER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002812

License Status

INACTIVE

Business

First Name

RANDAL

Middle

Last Name

MILLER

Business Name

RANDAL W MILLER

Original Issue Date

09/26/1997

Effective Date

08/14/2019

Expiration Date

01/31/2022

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

01/04/2022