LATISHA MARIA MILES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006711

License Status

NOT RENEWED

Business

First Name

LATISHA

Middle

MARIA

Last Name

MILES

Business Name

LATISHA MARIA MILES

Original Issue Date

02/07/2014

Effective Date

12/31/2021

Expiration Date

09/30/2023

City

GARY

State

Zip

46404

County

INDIANA

Ever Disciplined

LastModifiedDate

02/02/2024