DESIREE ESTEPA BUNGABONG Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019961

License Status

ACTIVE

Business

First Name

DESIREE

Middle

ESTEPA

Last Name

BUNGABONG

Business Name

DESIREE ESTEPA BUNGABONG

Original Issue Date

08/02/2013

Effective Date

09/13/2024

Expiration Date

09/30/2026

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/13/2024