SUSAN M PUNKE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006956

License Status

ACTIVE

Business

First Name

SUSAN

Middle

Last Name

PUNKE

Business Name

SUSAN M PUNKE

Original Issue Date

05/05/1992

Effective Date

07/30/2024

Expiration Date

09/30/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/30/2024