SHANE C BOGNER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026753

License Status

ACTIVE

Business

First Name

SHANE

Middle

Last Name

BOGNER

Business Name

SHANE C BOGNER

Original Issue Date

07/07/2022

Effective Date

08/19/2024

Expiration Date

09/30/2026

City

ISLAND LAKE

State

Zip

60042

Ever Disciplined

LastModifiedDate

08/19/2024