RANDALL J GOODMAN II Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017311

License Status

ACTIVE

Business

First Name

RANDALL

Middle

Last Name

GOODMAN II

Business Name

RANDALL J GOODMAN II

Original Issue Date

08/10/2009

Effective Date

08/18/2024

Expiration Date

09/30/2026

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

08/18/2024