BRADLEY M RUNNER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003284

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

Last Name

RUNNER

Business Name

BRADLEY M RUNNER

Original Issue Date

01/15/1999

Effective Date

10/01/2019

Expiration Date

01/31/2022

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/19/2022