BRIAN K DECKARD Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005264

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

DECKARD

Business Name

BRIAN K DECKARD

Original Issue Date

08/21/2009

Effective Date

07/16/2025

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/16/2025