BRANDY N HAAS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005728

License Status

NOT RENEWED

Business

First Name

BRANDY

Middle

Last Name

HAAS

Business Name

BRANDY N HAAS

Original Issue Date

08/08/2011

Effective Date

08/08/2011

Expiration Date

09/30/2013

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

11/12/2013