MICHELLE RENEA BANIC Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003619

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

RENEA

Last Name

BANIC

Business Name

MICHELLE RENEA BANIC

Original Issue Date

06/21/2000

Effective Date

08/14/2009

Expiration Date

09/30/2011

City

SAINT JOSEPH

State

Zip

49085

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/04/2011