LOGAN JOSEPH MICKELS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010292

License Status

ACTIVE

Business

First Name

LOGAN

Middle

JOSEPH

Last Name

MICKELS

Business Name

LOGAN JOSEPH MICKELS

Original Issue Date

11/03/2024

Effective Date

08/02/2025

Expiration Date

09/30/2027

City

HANNIBAL

State

Zip

63401

Ever Disciplined

LastModifiedDate

08/02/2025