ERICA M BRUNETTE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017902

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

Last Name

BRUNETTE

Business Name

ERICA M BRUNETTE

Original Issue Date

07/21/2010

Effective Date

07/21/2010

Expiration Date

09/30/2012

City

AUGUSTA

State

Zip

04330

County

MAINE

Ever Disciplined

LastModifiedDate

01/16/2013