BRENT M BUSSE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013307

License Status

ACTIVE

Business

First Name

BRENT

Middle

Last Name

BUSSE

Business Name

BRENT M BUSSE

Original Issue Date

11/20/2002

Effective Date

09/27/2024

Expiration Date

09/30/2026

City

VILLAGE OF LAKEWOOD

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/27/2024