GAIL LOUISE BROADIE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002072

License Status

NOT RENEWED

Business

First Name

GAIL LOUISE

Last Name

BROADIE

Business Name

GAIL LOUISE BROADIE

Original Issue Date

01/16/1976

Effective Date

08/27/2014

Expiration Date

09/30/2016

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/26/2016