STACY BODNER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011518

License Status

INACTIVE

Business

First Name

STACY

Last Name

BODNER

Business Name

STACY BODNER

Original Issue Date

09/28/1999

Effective Date

09/28/1999

Expiration Date

09/30/2004

City

PLANTATION

State

Zip

33324

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/01/2006