BRAD S DEFENBAUGH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016925

License Status

NOT RENEWED

Business

First Name

BRAD

Middle

Last Name

DEFENBAUGH

Business Name

BRAD S DEFENBAUGH

Original Issue Date

02/23/2009

Effective Date

07/23/2010

Expiration Date

09/30/2012

City

DAVENPORT

State

Zip

52807

County

IOWA

Ever Disciplined

LastModifiedDate

01/16/2013