BROOKE NICOLE RUSSELL DPT - Physical Therapist License in Illinois | # 070027885

BROOKE NICOLE RUSSELL DPT

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027885

License Status

ACTIVE

Business

N

Title

DPT

First Name

BROOKE

Middle

NICOLE

Last Name

RUSSELL

Business Name

BROOKE NICOLE RUSSELL DPT

Original Issue Date

10/14/2023

Effective Date

09/02/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/02/2024