Eric Douglas Waller
ActiveMichigan license 5502000667
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5502000667
- Status
- Active
- First issued
- August 1, 2011
- Expires
- August 1, 2029
- License holder
- Eric Douglas Waller
- Entity type
- Individual
Classifications
- Physical Therapist Assistant Therapy & Rehabilitation