LESLIE ROSE BRANT Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004431

License Status

INACTIVE

Business

First Name

LESLIE

Middle

ROSE

Last Name

BRANT

Business Name

LESLIE ROSE BRANT

Original Issue Date

05/10/2005

Effective Date

07/05/2007

Expiration Date

09/30/2009

City

ANKENY

State

Zip

50021

County

IOWA

Ever Disciplined

LastModifiedDate

07/09/2009