ELYSE K BRODERICK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024714

License Status

ACTIVE

Business

First Name

ELYSE

Middle

Last Name

BRODERICK

Business Name

ELYSE K BRODERICK

Original Issue Date

08/28/2019

Effective Date

09/10/2024

Expiration Date

09/30/2026

City

NAPERVILLE

State

Zip

60563

Ever Disciplined

LastModifiedDate

09/10/2024