LOUIS ROBERT BROADHURST PTA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006396

License Status

NOT RENEWED

Business

Title

PTA

First Name

LOUIS

Middle

ROBERT

Last Name

BROADHURST

Business Name

LOUIS ROBERT BROADHURST PTA

Original Issue Date

06/04/2013

Effective Date

08/07/2017

Expiration Date

09/30/2019

City

DONNELLSON

State

Zip

52625

County

IOWA

Ever Disciplined

LastModifiedDate

01/13/2020