ANGELA F BROST Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001695

License Status

NOT RENEWED

Business

First Name

ANGELA F

Last Name

BROST

Business Name

ANGELA F BROST

Original Issue Date

05/03/1993

Effective Date

05/03/1993

Expiration Date

09/30/1999

City

APPLETON

State

Zip

54914

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005