BRYAN PAUL GOETZ Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006190

License Status

INACTIVE

Business

First Name

BRYAN

Middle

PAUL

Last Name

GOETZ

Business Name

BRYAN PAUL GOETZ

Original Issue Date

10/02/2012

Effective Date

10/02/2012

Expiration Date

09/30/2013

City

DEERFIELD

State

Zip

49238

Ever Disciplined

LastModifiedDate

07/03/2013