BROOKLYN ASHLEY BANE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027736

License Status

ACTIVE

Business

First Name

BROOKLYN

Middle

ASHLEY

Last Name

BANE

Business Name

BROOKLYN ASHLEY BANE

Original Issue Date

09/13/2023

Effective Date

08/02/2024

Expiration Date

09/30/2026

City

DOWNERS GROVE

State

Zip

60515

Ever Disciplined

LastModifiedDate

08/02/2024