STEFANIE L BRACKEN - Physical Therapist License in Illinois | # 070024629

STEFANIE L BRACKEN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024629

License Status

NOT RENEWED

Business

N

First Name

STEFANIE

Middle

L

Last Name

BRACKEN

Business Name

STEFANIE L BRACKEN

Original Issue Date

08/19/2019

Effective Date

09/01/2020

Expiration Date

09/30/2022

State

IL

Ever Disciplined

N

LastModifiedDate

11/28/2022