BROOK A BRAGG - Physical Therapist License in Wisconsin | # 070009293

BROOK A BRAGG

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009293

License Status

INACTIVE

Business

N

First Name

BROOK A

Last Name

BRAGG

Business Name

BROOK A BRAGG

Original Issue Date

01/11/1996

Effective Date

01/11/1996

Expiration Date

09/30/2000

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005