ISAAC A ROBERG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003544

License Status

NOT RENEWED

Business

First Name

ISAAC

Middle

Last Name

ROBERG

Business Name

ISAAC A ROBERG

Original Issue Date

01/11/2000

Effective Date

01/11/2000

Expiration Date

09/30/2005

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/17/2005