BREYANNE LUCIA EDGAR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024051

License Status

NOT RENEWED

Business

First Name

BREYANNE

Middle

LUCIA

Last Name

EDGAR

Business Name

BREYANNE LUCIA EDGAR

Original Issue Date

10/15/2018

Effective Date

10/15/2018

Expiration Date

09/30/2020

City

VIBURNUM

State

Zip

65566

Ever Disciplined

LastModifiedDate

01/14/2021