BRET E ROGGENDORF Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004028

License Status

NOT RENEWED

Business

First Name

BRET E

Last Name

ROGGENDORF

Business Name

BRET E ROGGENDORF

Original Issue Date

10/28/1983

Effective Date

08/05/2016

Expiration Date

09/30/2018

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

12/05/2018