BROOKE E FALAT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005180

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

Last Name

FALAT

Business Name

BROOKE E FALAT

Original Issue Date

05/18/2009

Effective Date

08/21/2015

Expiration Date

09/30/2017

City

MARSHALL

State

Zip

62441

County

CLARK

Ever Disciplined

LastModifiedDate

11/01/2017