BRAD ADAM MOLTRUP - Physical Therapist License in Illinois | # 070013301

BRAD ADAM MOLTRUP

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013301

License Status

INACTIVE

Business

N

First Name

BRAD

Middle

ADAM

Last Name

MOLTRUP

Business Name

BRAD ADAM MOLTRUP

Original Issue Date

11/18/2002

Effective Date

10/01/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2020