JEANIE J BRANTLEY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023092

License Status

ACTIVE

Business

First Name

JEANIE

Middle

Last Name

BRANTLEY

Business Name

JEANIE J BRANTLEY

Original Issue Date

08/14/2017

Effective Date

08/21/2024

Expiration Date

09/30/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

08/21/2024