TRACEY R MILLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003591

License Status

NOT RENEWED

Business

First Name

TRACEY

Middle

Last Name

MILLER

Business Name

TRACEY R MILLER

Original Issue Date

03/16/2000

Effective Date

09/25/2009

Expiration Date

09/30/2011

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

11/04/2011