BRIAN THOMAS BONK Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011572

License Status

ACTIVE

Business

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

City

WEST BEND

State

Zip

53095

Ever Disciplined

LastModifiedDate

10/02/2025