License holder summary

Agatha Diane Brockie is a Physical Therapist licensed to practice in Indiana. The address on file for Agatha Diane Brockie is Lexington KY 40509. This licensed professional license is current. The license was granted 04/28/2014 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Agatha Diane Brockie
Physical Therapist
License number
05011383A
Date granted
04/28/2014
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Lexington KY 40509
indianalicensing.org
ID 29178243
LAST UPDATED 2024-02-10 21:43:09 UTC

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