GLORIA TAN BRADDOCK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070029637

License Status

ACTIVE

Business

First Name

GLORIA

Middle

TAN

Last Name

BRADDOCK

Business Name

GLORIA TAN BRADDOCK

Original Issue Date

11/19/2025

Effective Date

11/19/2025

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

08/19/2025