TERESA D BROSHEARS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003598

License Status

INACTIVE

Business

First Name

TERESA

Middle

Last Name

BROSHEARS

Business Name

TERESA D BROSHEARS

Original Issue Date

04/10/2000

Effective Date

10/01/2019

Expiration Date

12/31/2021

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

12/29/2021