CHARLES R BUMGARNER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002437

License Status

INACTIVE

Business

First Name

CHARLES R

Last Name

BUMGARNER

Business Name

CHARLES R BUMGARNER

Original Issue Date

05/08/1996

Effective Date

05/08/1996

Expiration Date

09/30/2001

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005