MATTHEW A BROKAW Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002429

License Status

ACTIVE

Business

First Name

MATTHEW A

Last Name

BROKAW

Business Name

MATTHEW A BROKAW

Original Issue Date

04/25/1996

Effective Date

09/12/2025

Expiration Date

09/30/2027

City

KEWANEE

State

Zip

61443

Ever Disciplined

LastModifiedDate

09/12/2025