NATHAN LEE BRESKE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021833

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

LEE

Last Name

BRESKE

Business Name

NATHAN LEE BRESKE

Original Issue Date

09/17/2015

Effective Date

09/28/2020

Expiration Date

09/30/2022

City

ORCHARD PARK

State

Zip

14127

Ever Disciplined

LastModifiedDate

11/28/2022