KARLA SUE BROCKMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003371

License Status

NOT RENEWED

Business

First Name

KARLA SUE

Last Name

BROCKMAN

Business Name

KARLA SUE BROCKMAN

Original Issue Date

02/11/1981

Effective Date

09/17/2010

Expiration Date

09/30/2012

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

01/16/2013