KELLY D BRUSVEN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002745

License Status

INACTIVE

Business

First Name

KELLY D

Last Name

BRUSVEN

Business Name

KELLY D BRUSVEN

Original Issue Date

07/29/1997

Effective Date

07/29/1997

Expiration Date

09/30/1999

City

CHARLOTTE

State

Zip

52731

County

IOWA

Ever Disciplined

LastModifiedDate

10/14/2005