MANDI M MILLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005196

License Status

NOT RENEWED

Business

First Name

MANDI

Middle

Last Name

MILLER

Business Name

MANDI M MILLER

Original Issue Date

07/06/2009

Effective Date

07/25/2017

Expiration Date

09/30/2019

City

SADORUS

State

Zip

61872

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/13/2020