License Information

The holder whose full name is GARRETT, MIRIAM LOUISA,come from CHAMPAIGN IL,hold the Physical Therapist license(NO.05002390A) which status is Expired.

NameGARRETT, MIRIAM LOUISA
License Number05002390A
License TypePhysical Therapist
License StatusExpired
CityCHAMPAIGN
StateIL

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