JACKLYN BAGALAY EGGENBERGER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016181

License Status

ACTIVE

Business

First Name

JACKLYN

Middle

BAGALAY

Last Name

EGGENBERGER

Business Name

JACKLYN BAGALAY EGGENBERGER

Original Issue Date

01/18/2008

Effective Date

09/02/2024

Expiration Date

09/30/2026

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/02/2024