BRENDA S RANDALL Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000387

License Status

ACTIVE

Business

First Name

BRENDA S

Last Name

RANDALL

Business Name

BRENDA S RANDALL

Original Issue Date

08/05/1991

Effective Date

08/24/2025

Expiration Date

09/30/2027

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

08/24/2025