MICHELLE LYNN VANDEGRAFT Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003343

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

LYNN

Last Name

VANDEGRAFT

Business Name

MICHELLE LYNN VANDEGRAFT

Original Issue Date

05/10/1999

Effective Date

05/10/1999

Expiration Date

09/30/2005

City

MARQUETTE HEIGHTS

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005