BRAD D GOPLERUD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001991

License Status

NOT RENEWED

Business

First Name

BRAD D

Last Name

GOPLERUD

Business Name

BRAD D GOPLERUD

Original Issue Date

09/17/1994

Effective Date

08/24/2017

Expiration Date

09/30/2019

City

ELGIN

State

Zip

60124

County

KANE

Ever Disciplined

LastModifiedDate

01/13/2020