TODD R BRUBAKER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004327

License Status

NOT RENEWED

Business

First Name

TODD

Middle

Last Name

BRUBAKER

Business Name

TODD R BRUBAKER

Original Issue Date

08/26/2004

Effective Date

09/16/2015

Expiration Date

09/30/2017

City

CLARENCE CENTER

State

Zip

14032

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/01/2017