BRIEN NICOLE BROCK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005694

License Status

ACTIVE

Business

First Name

BRIEN

Middle

NICOLE

Last Name

BROCK

Business Name

BRIEN NICOLE BROCK

Original Issue Date

07/14/2011

Effective Date

09/19/2025

Expiration Date

09/30/2027

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

09/19/2025