RODOLFO S MIRANDA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009977

License Status

NOT RENEWED

Business

First Name

RODOLFO

Middle

Last Name

MIRANDA

Business Name

RODOLFO S MIRANDA

Original Issue Date

10/02/2023

Effective Date

10/02/2023

Expiration Date

09/30/2025

City

CICERO

State

Zip

60804

Ever Disciplined

LastModifiedDate

12/30/2025