JEFFREY S BRAULT DO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006085

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY S

Last Name

BRAULT

Business Name

JEFFREY S BRAULT DO

Original Issue Date

05/22/1990

Effective Date

05/22/1990

Expiration Date

09/30/1996

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/14/2005