KRISTIE A MILES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003755

License Status

NOT RENEWED

Business

First Name

KRISTIE

Middle

Last Name

MILES

Business Name

KRISTIE A MILES

Original Issue Date

11/29/2000

Effective Date

11/29/2000

Expiration Date

09/30/2003

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005