VICKI D BOGNANNO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003927

License Status

NOT RENEWED

Business

First Name

VICKI

Middle

Last Name

BOGNANNO

Business Name

VICKI D BOGNANNO

Original Issue Date

10/10/2001

Effective Date

11/18/2021

Expiration Date

09/30/2023

City

MOUNTAIN HOME

State

Zip

83647

Ever Disciplined

LastModifiedDate

02/02/2024

Case Number

2022008191

Action

Suspension

Discipline Start Date

12/05/2022

Discipline Reason

Failure to file and/or pay Illinois state income taxes.