BRANDI COLEEN NALL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003575

License Status

NOT RENEWED

Business

First Name

BRANDI

Middle

COLEEN

Last Name

NALL

Business Name

BRANDI COLEEN NALL

Original Issue Date

02/18/2000

Effective Date

07/05/2007

Expiration Date

09/30/2009

City

FAIRMONT CITY

State

Zip

62201

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/04/2009