TIFFANY N BRODERSEN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020121

License Status

ACTIVE

Business

First Name

TIFFANY

Middle

Last Name

BRODERSEN

Business Name

TIFFANY N BRODERSEN

Original Issue Date

08/19/2013

Effective Date

07/17/2024

Expiration Date

09/30/2026

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/17/2024