BRIAN THOMAS BONK - Occupational Therapist License in Wisconsin | # 056011572

BRIAN THOMAS BONK

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011572

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

THOMAS

Last Name

BONK

Business Name

BRIAN THOMAS BONK

Original Issue Date

07/13/2016

Effective Date

12/29/2023

Expiration Date

12/31/2025

State

WI

Ever Disciplined

N

LastModifiedDate

04/01/2026