BROOKE H BISHOP Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004229

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

Last Name

BISHOP

Business Name

BROOKE H BISHOP

Original Issue Date

11/19/2003

Effective Date

08/24/2017

Expiration Date

09/30/2019

City

DENNISON

State

Zip

62423

County

CLARK

Ever Disciplined

LastModifiedDate

01/13/2020