MARANDA N WYATT DC Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004321

License Status

NOT RENEWED

Business

Title

First Name

MARANDA

Middle

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

City

BLOOMINGTON

State

Zip

61704

Ever Disciplined

LastModifiedDate

11/04/2009