STEPHEN JOSEPH BREAULT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010655

License Status

ACTIVE

Business

First Name

STEPHEN

Middle

JOSEPH

Last Name

BREAULT

Business Name

STEPHEN JOSEPH BREAULT

Original Issue Date

06/15/1998

Effective Date

09/03/2024

Expiration Date

09/30/2026

City

BENTONVILLE

State

Zip

72712

Ever Disciplined

LastModifiedDate

09/03/2024