BRENT M DAVIS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006597

License Status

NOT RENEWED

Business

First Name

BRENT M

Last Name

DAVIS

Business Name

BRENT M DAVIS

Original Issue Date

09/13/1991

Effective Date

09/13/1991

Expiration Date

09/30/1994

City

LANARK

State

Zip

61046

County

CARROLL

Ever Disciplined

LastModifiedDate

10/14/2005