SUZANNE L BRODERICK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000279

License Status

INACTIVE

Business

First Name

SUZANNE L

Last Name

BRODERICK

Business Name

SUZANNE L BRODERICK

Original Issue Date

07/22/1991

Effective Date

07/22/1991

Expiration Date

09/30/1997

City

LEAGUE CITY

State

Zip

77573

County

TEXAS

Ever Disciplined

LastModifiedDate

10/14/2005