BRIAN B EAVES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009287

License Status

NOT RENEWED

Business

First Name

BRIAN B

Last Name

EAVES

Business Name

BRIAN B EAVES

Original Issue Date

01/10/1996

Effective Date

01/10/1996

Expiration Date

09/30/2000

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/17/2005