BRENDA J MALLER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000741

License Status

INACTIVE

Business

First Name

BRENDA J

Last Name

MALLER

Business Name

BRENDA J MALLER

Original Issue Date

10/17/1991

Effective Date

09/25/2013

Expiration Date

09/30/2015

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

07/06/2015