BRADLEY M RUNNER - Physical Therapist License in Illinois | # 160003284

BRADLEY M RUNNER

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003284

License Status

NOT RENEWED

Business

N

First Name

BRADLEY

Middle

M

Last Name

RUNNER

Business Name

BRADLEY M RUNNER

Original Issue Date

01/15/1999

Effective Date

10/01/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/19/2022