LEONARD KEVYN BANOGON FEROLIN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024838

License Status

ACTIVE

Business

First Name

LEONARD KEVYN

Middle

BANOGON

Last Name

FEROLIN

Business Name

LEONARD KEVYN BANOGON FEROLIN

Original Issue Date

11/12/2019

Effective Date

09/24/2024

Expiration Date

09/30/2026

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

09/24/2024