BRENT M DAVIS - Physical Therapist License in Illinois | # 070006597

BRENT M DAVIS

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006597

License Status

NOT RENEWED

Business

N

First Name

BRENT M

Last Name

DAVIS

Business Name

BRENT M DAVIS

Original Issue Date

09/13/1991

Effective Date

09/13/1991

Expiration Date

09/30/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005