DATHA LOU BREWER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001480

License Status

NOT RENEWED

Business

First Name

DATHA LOU

Last Name

BREWER

Business Name

DATHA LOU BREWER

Original Issue Date

01/01/1998

City

SICKLERVILLE

State

Zip

08081

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/14/2005