BROOK ASHLEY RIVERA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017059

License Status

NOT RENEWED

Business

First Name

BROOK

Middle

ASHLEY

Last Name

RIVERA

Business Name

BROOK ASHLEY RIVERA

Original Issue Date

04/24/2009

Effective Date

09/15/2016

Expiration Date

09/30/2018

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

12/05/2018