ANGELA M BOGNER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007270

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

BOGNER

Business Name

ANGELA M BOGNER

Original Issue Date

08/13/2015

Effective Date

08/13/2015

Expiration Date

09/30/2017

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/01/2017