BRIAN G BAKER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002176

License Status

NOT RENEWED

Business

First Name

BRIAN G

Last Name

BAKER

Business Name

BRIAN G BAKER

Original Issue Date

05/21/1976

Effective Date

08/28/2012

Expiration Date

09/30/2014

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

11/17/2014