DAWN M MILLER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004830

License Status

INACTIVE

Business

First Name

DAWN M

Last Name

MILLER

Business Name

DAWN M MILLER

Original Issue Date

06/17/1986

Effective Date

06/17/1986

Expiration Date

09/30/2002

City

WEST BEND

State

Zip

53095

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005