JORDAN A BRUNNER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008920

License Status

ACTIVE

Business

First Name

JORDAN

Middle

Last Name

BRUNNER

Business Name

JORDAN A BRUNNER

Original Issue Date

06/10/2020

Effective Date

08/22/2025

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/22/2025