MIRANDA L RETTELL Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006575

License Status

ACTIVE

Business

First Name

MIRANDA

Middle

Last Name

RETTELL

Business Name

MIRANDA L RETTELL

Original Issue Date

10/04/2013

Effective Date

09/30/2025

Expiration Date

09/30/2027

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/30/2025