BRENT L FRAZIER - Physical Therapist License in Illinois | # 160003716

BRENT L FRAZIER

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003716

License Status

NOT RENEWED

Business

N

First Name

BRENT

Middle

L

Last Name

FRAZIER

Business Name

BRENT L FRAZIER

Original Issue Date

10/24/2000

Effective Date

10/24/2000

Expiration Date

09/30/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005