BONNIE L HULTING Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000654

License Status

NOT RENEWED

Business

First Name

BONNIE L

Last Name

HULTING

Business Name

BONNIE L HULTING

Original Issue Date

10/02/1991

Effective Date

09/13/2011

Expiration Date

09/30/2013

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/12/2013