BREANNE M DUVENDECK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020253

License Status

NOT RENEWED

Business

First Name

BREANNE

Middle

Last Name

DUVENDECK

Business Name

BREANNE M DUVENDECK

Original Issue Date

08/28/2013

Effective Date

08/12/2016

Expiration Date

09/30/2018

City

WATERFORD

State

Zip

53185

Ever Disciplined

LastModifiedDate

12/05/2018