MARANDA N WYATT DC - Physical Therapist License in Illinois | # 160004321

MARANDA N WYATT DC

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004321

License Status

NOT RENEWED

Business

N

Title

DC

First Name

MARANDA

Middle

N

Last Name

WYATT

Business Name

MARANDA N WYATT DC

Original Issue Date

08/26/2004

Effective Date

07/05/2007

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

11/04/2009