LORI DANAE BROCKMANN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013304

License Status

INACTIVE

Business

First Name

LORI

Middle

DANAE

Last Name

BROCKMANN

Business Name

LORI DANAE BROCKMANN

Original Issue Date

11/20/2002

Effective Date

11/20/2002

Expiration Date

09/30/2004

City

FARMINGTON HILLS

State

Zip

48335

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/01/2006