KATIE A BODNER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007473

License Status

ACTIVE

Business

First Name

KATIE

Middle

Last Name

BODNER

Business Name

KATIE A BODNER

Original Issue Date

05/02/2016

Effective Date

09/23/2025

Expiration Date

09/30/2027

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

09/23/2025