BRENT L FRAZIER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003716

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

Last Name

FRAZIER

Business Name

BRENT L FRAZIER

Original Issue Date

10/24/2000

Effective Date

10/24/2000

Expiration Date

09/30/2003

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

10/17/2005