DIXIE LEIGH BRAZELTON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004850

License Status

NOT RENEWED

Business

First Name

DIXIE

Middle

LEIGH

Last Name

BRAZELTON

Business Name

DIXIE LEIGH BRAZELTON

Original Issue Date

09/13/2007

Effective Date

09/13/2007

Expiration Date

09/30/2009

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/04/2009