CAROL A MILLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003439

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

Last Name

MILLER

Business Name

CAROL A MILLER

Original Issue Date

10/07/1999

Effective Date

07/11/2019

Expiration Date

01/31/2022

City

SOMONAUK

State

Zip

60552

County

DEKALB

Ever Disciplined

LastModifiedDate

05/19/2022