BROOKE LESLEY NACK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012263

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

LESLEY

Last Name

NACK

Business Name

BROOKE LESLEY NACK

Original Issue Date

12/22/2000

Effective Date

12/22/2000

Expiration Date

09/30/2004

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005