STEFANIE L BRACKEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024629

License Status

NOT RENEWED

Business

First Name

STEFANIE

Middle

Last Name

BRACKEN

Business Name

STEFANIE L BRACKEN

Original Issue Date

08/19/2019

Effective Date

09/01/2020

Expiration Date

09/30/2022

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022