JENNIFER L BRODER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015588

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

BRODER

Business Name

JENNIFER L BRODER

BusinessDBA

BRODER

Original Issue Date

02/22/2007

Effective Date

08/19/2008

Expiration Date

09/30/2010

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2010