LOUIS ROBERT BROADHURST PTA - Physical Therapist License in Iowa | # 160006396

LOUIS ROBERT BROADHURST PTA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006396

License Status

NOT RENEWED

Business

N

Title

PTA

First Name

LOUIS

Middle

ROBERT

Last Name

BROADHURST

Business Name

LOUIS ROBERT BROADHURST PTA

Original Issue Date

06/04/2013

Effective Date

08/07/2017

Expiration Date

09/30/2019

State

IA

Ever Disciplined

N

LastModifiedDate

01/13/2020