BROOKE NICOLE RUSSELL DPT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027885

License Status

ACTIVE

Business

Title

DPT

First Name

BROOKE

Middle

NICOLE

Last Name

RUSSELL

Business Name

BROOKE NICOLE RUSSELL DPT

Original Issue Date

10/14/2023

Effective Date

09/02/2024

Expiration Date

09/30/2026

City

MORRISON

State

Zip

61270

County

WHITESIDE

Ever Disciplined

LastModifiedDate

09/02/2024