EARL B BROCK JR - Physical Therapist License in Illinois | # 070001615

EARL B BROCK JR

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001615

License Status

NOT RENEWED

Business

N

First Name

EARL B

Last Name

BROCK JR

Business Name

EARL B BROCK JR

Original Issue Date

12/22/1972

Effective Date

12/22/1972

Expiration Date

09/30/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005