BRENT R BALES Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006841

License Status

ACTIVE

Business

First Name

BRENT

Middle

Last Name

BALES

Business Name

BRENT R BALES

Original Issue Date

08/07/2014

Effective Date

09/19/2025

Expiration Date

09/30/2027

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/19/2025