BONGYEON SHIN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021571

License Status

ACTIVE

Business

First Name

BONGYEON

Last Name

SHIN

Business Name

BONGYEON SHIN

Original Issue Date

08/10/2015

Effective Date

08/24/2024

Expiration Date

09/30/2026

City

LIBERTYVILLE

State

Zip

60048

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/24/2024