TRACY L BRDA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001823

License Status

INACTIVE

Business

First Name

TRACY L

Last Name

BRDA

Business Name

TRACY L BRDA

Original Issue Date

10/20/1993

Effective Date

08/19/2010

Expiration Date

09/30/2011

City

PACIFIC

State

Zip

63069

Ever Disciplined

LastModifiedDate

07/07/2011