ELEANOR G BROYLES Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009956

License Status

ACTIVE

Business

First Name

ELEANOR

Middle

Last Name

BROYLES

Business Name

ELEANOR G BROYLES

Original Issue Date

09/07/2023

Effective Date

09/21/2025

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/21/2025