ELLEN J BONINE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007121

License Status

ACTIVE

Business

First Name

ELLEN

Middle

Last Name

BONINE

Business Name

ELLEN J BONINE

Original Issue Date

03/08/2004

Effective Date

10/02/2025

Expiration Date

12/31/2027

City

ROCKWOOD

State

Zip

37854

Ever Disciplined

LastModifiedDate

10/02/2025