BYRON J BRODERICK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008003

License Status

ACTIVE

Business

First Name

BYRON

Middle

Last Name

BRODERICK

Business Name

BYRON J BRODERICK

Original Issue Date

08/24/2017

Effective Date

09/29/2025

Expiration Date

09/30/2027

City

MOUNT PROSPECT

State

Zip

60056

Ever Disciplined

LastModifiedDate

09/29/2025