BREEANNON CARLSON-THIELE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020713

License Status

ACTIVE

Business

First Name

BREEANNON

Last Name

CARLSON-THIELE

Business Name

BREEANNON CARLSON-THIELE

Original Issue Date

06/30/2014

Effective Date

09/20/2024

Expiration Date

09/30/2026

City

BELOIT

State

Zip

53511

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2024