GRACE G BREITBACH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070029321

License Status

ACTIVE

Business

First Name

GRACE

Middle

Last Name

BREITBACH

Business Name

GRACE G BREITBACH

Original Issue Date

08/19/2025

Effective Date

08/19/2025

Expiration Date

09/30/2026

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

12/23/2025