BRADLEY RUSSELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025309

License Status

NOT RENEWED

Business

First Name

BRADLEY

Last Name

RUSSELL

Business Name

BRADLEY RUSSELL

Original Issue Date

08/11/2020

Effective Date

09/15/2022

Expiration Date

09/30/2024

City

MADISON

State

Zip

06443

Ever Disciplined

LastModifiedDate

02/27/2025