MIKAYLA D QUEEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007804

License Status

NOT RENEWED

Business

First Name

MIKAYLA

Middle

Last Name

QUEEN

Business Name

MIKAYLA D QUEEN

Original Issue Date

02/09/2017

Effective Date

08/07/2017

Expiration Date

09/30/2019

City

SESSER

State

Zip

62884

County

FRANKLIN

Ever Disciplined

LastModifiedDate

01/13/2020