BRANDY R CORZINE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003013

License Status

NOT RENEWED

Business

First Name

BRANDY

Middle

Last Name

CORZINE

Business Name

BRANDY R CORZINE

Original Issue Date

06/30/1998

Effective Date

09/29/2009

Expiration Date

09/30/2011

City

WORDEN

State

Zip

62097

County

MADISON

Ever Disciplined

LastModifiedDate

11/04/2011