BONILYN LORA GAMBOA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017582

License Status

ACTIVE

Business

First Name

BONILYN

Middle

LORA

Last Name

GAMBOA

Business Name

BONILYN LORA GAMBOA

Original Issue Date

01/12/2010

Effective Date

09/05/2024

Expiration Date

09/30/2026

City

PLAINFIELD

State

Zip

60585

County

KENDALL

Ever Disciplined

LastModifiedDate

09/05/2024