KIMBERLY J BROKAW Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006611

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

BROKAW

Business Name

KIMBERLY J BROKAW

Original Issue Date

10/29/2013

Effective Date

09/22/2023

Expiration Date

09/30/2025

City

WALNUT

State

Zip

61376

County

BUREAU

Ever Disciplined

LastModifiedDate

12/30/2025