MICHELLE B BOONGALING Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026128

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

Last Name

BOONGALING

Business Name

MICHELLE B BOONGALING

Original Issue Date

08/27/2021

Effective Date

08/11/2024

Expiration Date

09/30/2026

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

08/11/2024