JENNIFER L MILLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005696

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

MILLER

Business Name

JENNIFER L MILLER

Original Issue Date

07/14/2011

Effective Date

09/25/2019

Expiration Date

01/31/2022

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

05/19/2022