JUDITH K BROWNBACK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003080

License Status

NOT RENEWED

Business

First Name

JUDITH

Middle

Last Name

BROWNBACK

Business Name

JUDITH K BROWNBACK

Original Issue Date

09/16/1998

Effective Date

09/08/2015

Expiration Date

09/30/2017

City

NEOGA

State

Zip

62447

County

CUMBERLAND

Ever Disciplined

LastModifiedDate

11/01/2017