THOMAS J BONNEVILLE - Orthotist, Prosthetist, and Pedorthist License in Tennessee | # 211000148

THOMAS J BONNEVILLE

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000148

License Status

NOT RENEWED

Business

N

First Name

THOMAS

Middle

J

Last Name

BONNEVILLE

Business Name

THOMAS J BONNEVILLE

Original Issue Date

04/10/2002

Effective Date

07/12/2019

Expiration Date

01/31/2022

State

TN

Ever Disciplined

N

LastModifiedDate

05/18/2022