BREANNE JANEAN RANDALL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006031

License Status

NOT RENEWED

Business

First Name

BREANNE

Middle

JANEAN

Last Name

RANDALL

Business Name

BREANNE JANEAN RANDALL

Original Issue Date

07/24/2012

Effective Date

09/16/2019

Expiration Date

01/31/2022

City

LEWISTOWN

State

Zip

63452

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/19/2022