BRENT C BORDERS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018198

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

Last Name

BORDERS

Business Name

BRENT C BORDERS

Original Issue Date

10/27/2010

Effective Date

08/20/2012

Expiration Date

09/30/2014

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014