LARRY D BRIAND Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006365

License Status

NOT RENEWED

Business

First Name

LARRY D

Last Name

BRIAND

Business Name

LARRY D BRIAND

Original Issue Date

02/05/1991

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

KENOSHA

State

Zip

53144

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/08/2006