BROOKE T WOODSIDE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027158

License Status

ACTIVE

Business

First Name

BROOKE

Middle

Last Name

WOODSIDE

Business Name

BROOKE T WOODSIDE

Original Issue Date

12/07/2022

Effective Date

08/13/2024

Expiration Date

09/30/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

08/13/2024