TRACE ALEXANDER VON BRUENCHENHEIN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025953

License Status

ACTIVE

Business

First Name

TRACE

Middle

ALEXANDER

Last Name

VON BRUENCHENHEIN

Business Name

TRACE ALEXANDER VON BRUENCHENHEIN

Original Issue Date

06/09/2021

Effective Date

07/29/2024

Expiration Date

09/30/2026

City

MCHENRY

State

Zip

60051

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/29/2024