BRIAN JOHN ROSE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022915

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

JOHN

Last Name

ROSE

Business Name

BRIAN JOHN ROSE

Original Issue Date

05/03/2017

Effective Date

05/03/2017

Expiration Date

09/30/2018

City

BALLWIN

State

Zip

63021

Ever Disciplined

LastModifiedDate

12/05/2018