BRADLEY J GREEN - Physical Therapist License in Illinois | # 160007925

BRADLEY J GREEN

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007925

License Status

INACTIVE

Business

N

First Name

BRADLEY

Middle

J

Last Name

GREEN

Business Name

BRADLEY J GREEN

Original Issue Date

08/07/2017

Effective Date

09/20/2019

Expiration Date

12/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

12/21/2021