BRAD D GOPLERUD - Physical Therapist License in Illinois | # 160001991

BRAD D GOPLERUD

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001991

License Status

NOT RENEWED

Business

N

First Name

BRAD D

Last Name

GOPLERUD

Business Name

BRAD D GOPLERUD

Original Issue Date

09/17/1994

Effective Date

08/24/2017

Expiration Date

09/30/2019

State

IL

Ever Disciplined

N

LastModifiedDate

01/13/2020