PROMODH JOSEPH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011199

License Status

NOT RENEWED

Business

First Name

PROMODH

Last Name

JOSEPH

Business Name

PROMODH JOSEPH

Original Issue Date

03/12/1999

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ROCKFORD

State

Zip

49341

Ever Disciplined

LastModifiedDate

11/08/2006