BRAD W VANDEVELDE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016543

License Status

ACTIVE

Business

First Name

BRAD

Middle

Last Name

VANDEVELDE

Business Name

BRAD W VANDEVELDE

Original Issue Date

07/30/2008

Effective Date

09/25/2024

Expiration Date

09/30/2026

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

09/25/2024