BROOK A BRAGG Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009293

License Status

INACTIVE

Business

First Name

BROOK A

Last Name

BRAGG

Business Name

BROOK A BRAGG

Original Issue Date

01/11/1996

Effective Date

01/11/1996

Expiration Date

09/30/2000

City

ABBOTSFORD

State

Zip

54405

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005