BROOKE MARIE KALISIAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013529

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

MARIE

Last Name

KALISIAK

Business Name

BROOKE MARIE KALISIAK

Original Issue Date

06/03/2003

Effective Date

07/14/2016

Expiration Date

09/30/2018

City

SAINT LOUIS

State

Zip

63126

County

MISSOURI

Ever Disciplined

LastModifiedDate

12/05/2018