JEFFREY MICHAEL BRANDENBURG Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011133

License Status

INACTIVE

Business

First Name

JEFFREY

Middle

MICHAEL

Last Name

BRANDENBURG

Business Name

JEFFREY MICHAEL BRANDENBURG

Original Issue Date

02/11/1999

Effective Date

09/29/2008

Expiration Date

09/30/2010

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/08/2010