PATRICIA A BOGART Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001492

License Status

NOT RENEWED

Business

First Name

PATRICIA A

Last Name

BOGART

Business Name

PATRICIA A BOGART

Original Issue Date

08/19/1992

Effective Date

08/19/1992

Expiration Date

09/30/2003

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

10/17/2005