JENNIFER L BRODER - Physical Therapist License in Illinois | # 070015588

JENNIFER L BRODER

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015588

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

L

Last Name

BRODER

Business Name

JENNIFER L BRODER

BusinessDBA

BRODER

Original Issue Date

02/22/2007

Effective Date

08/19/2008

Expiration Date

09/30/2010

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2010