BRIAN D GRONDIN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019234

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

GRONDIN

Business Name

BRIAN D GRONDIN

Original Issue Date

08/01/2012

Effective Date

09/16/2024

Expiration Date

09/30/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

09/16/2024