AMANDA MELISSA BRACKROG - Physical Therapist License in California | # 160007433

AMANDA MELISSA BRACKROG

Business Entity

CANCELLED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007433

License Status

CANCELLED

Business

N

First Name

AMANDA

Middle

MELISSA

Last Name

BRACKROG

Business Name

AMANDA MELISSA BRACKROG

Original Issue Date

03/02/2016

Effective Date

03/02/2016

Expiration Date

09/30/2017

State

CA

Ever Disciplined

N

LastModifiedDate

01/29/2016