KEVIN D DE BRAAL Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002284

License Status

INACTIVE

Business

First Name

KEVIN D

Last Name

DE BRAAL

Business Name

KEVIN D DE BRAAL

Original Issue Date

01/11/1977

Effective Date

01/11/1977

Expiration Date

09/30/2004

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

09/01/2006