THOMAS J BONNEVILLE Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000148

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

BONNEVILLE

Business Name

THOMAS J BONNEVILLE

Original Issue Date

04/10/2002

Effective Date

07/12/2019

Expiration Date

01/31/2022

City

SEVIERVILLE

State

Zip

37862

County

TENNESSEE

Ever Disciplined

LastModifiedDate

05/18/2022