MICHELLE ANNE WILCOX Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004319

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

ANNE

Last Name

WILCOX

Business Name

MICHELLE ANNE WILCOX

Original Issue Date

08/24/2004

Effective Date

09/28/2009

Expiration Date

09/30/2011

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

11/04/2011