PEGGY MILLER WYATT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003325

License Status

NOT RENEWED

Business

First Name

PEGGY

Middle

MILLER

Last Name

WYATT

Business Name

PEGGY MILLER WYATT

Original Issue Date

03/18/1999

Effective Date

03/18/1999

Expiration Date

09/30/2005

City

PADUCAH

State

Zip

42003

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/17/2005