STANLEY D MILLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003768

License Status

NOT RENEWED

Business

First Name

STANLEY

Middle

Last Name

MILLER

Business Name

STANLEY D MILLER

Original Issue Date

12/08/2000

Effective Date

09/24/2019

Expiration Date

01/31/2022

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

05/19/2022