DIXIE LEIGH BRAZELTON - Physical Therapist License in Illinois | # 160004850

DIXIE LEIGH BRAZELTON

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004850

License Status

NOT RENEWED

Business

N

First Name

DIXIE

Middle

LEIGH

Last Name

BRAZELTON

Business Name

DIXIE LEIGH BRAZELTON

Original Issue Date

09/13/2007

Effective Date

09/13/2007

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

11/04/2009