License holder summary

LEILA ROSE BROADNAX is a Physical Therapist licensed to practice in Indiana. The address on file for LEILA ROSE BROADNAX is MERRILLVILLE IN 46410. This licensed professional license is current. The license was granted 07/09/1974 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

LEILA ROSE BROADNAX
Physical Therapist
License number
05000777A
Date granted
07/09/1974
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
MERRILLVILLE IN 46410
indianalicensing.org
ID 8375123
LAST UPDATED 2024-04-15 09:08:21 UTC

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