THOMAS J BONNEVILLE Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED ORTHOTIST

License Number

213000170

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

09/25/2017

Expiration Date

09/30/2019

City

SEVIERVILLE

State

Zip

37862

County

TENNESSEE

Ever Disciplined

LastModifiedDate

03/17/2020