MICHELLE M MULLEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002174

License Status

NOT RENEWED

Business

First Name

MICHELLE M

Last Name

MULLEN

Business Name

MICHELLE M MULLEN

Original Issue Date

05/16/1995

Effective Date

10/01/2013

Expiration Date

09/30/2015

City

FLORISSANT

State

Zip

63031

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/03/2015