BRONTE GREEN DPT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026099

License Status

NOT RENEWED

Business

Title

DPT

First Name

BRONTE

Last Name

GREEN

Business Name

BRONTE GREEN DPT

Original Issue Date

08/19/2021

Effective Date

08/14/2022

Expiration Date

09/30/2024

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

02/27/2025