BONITA L DESPAIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005650

License Status

NOT RENEWED

Business

First Name

BONITA

Middle

Last Name

DESPAIN

Business Name

BONITA L DESPAIN

Original Issue Date

04/12/2011

Effective Date

04/13/2022

Expiration Date

09/30/2023

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

02/02/2024