BRAY WALTON GRUNDY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023319

License Status

NOT RENEWED

Business

First Name

BRAY

Middle

WALTON

Last Name

GRUNDY

Business Name

BRAY WALTON GRUNDY

Original Issue Date

09/12/2017

Effective Date

09/12/2017

Expiration Date

09/30/2018

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/05/2018