TANJA M MAHIEU Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006247

License Status

NOT RENEWED

Business

First Name

TANJA M

Last Name

MAHIEU

Business Name

TANJA M MAHIEU

Original Issue Date

12/21/1990

Effective Date

12/21/1990

Expiration Date

09/30/1994

City

GRAND RAPIDS

State

Zip

49546

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/14/2005