License holder summary

MYRIAM VICIOSO is a Physical Therapy - Physical Therapist Temporary licensed to practice in Michigan. This licensed professional license is not current. The license was granted 09/23/1993 and expired on 03/23/1995.

Michigan

Department of Licensing and Regulation

MYRIAM VICIOSO
Physical Therapy - Physical Therapist Temporary
License number
5501005936
Date granted
09/23/1993
Date expires
03/23/1995
Class
Physical Therapy - Physical Therapist Temporary
Status
Lapsed
Address
michiganlicensing.org
ID 25984764
LAST UPDATED 2026-04-29 04:28:09 UTC

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