BRIAN E MC KENZIE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010383

License Status

NOT RENEWED

Business

First Name

BRIAN E

Last Name

MC KENZIE

Business Name

BRIAN E MC KENZIE

Original Issue Date

12/19/1997

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

07/26/2007