SANSANEE PATTAPONGWAT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009405

License Status

ACTIVE

Business

First Name

SANSANEE

Last Name

PATTAPONGWAT

Business Name

SANSANEE PATTAPONGWAT

Original Issue Date

10/18/2021

Effective Date

09/30/2025

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61701

Ever Disciplined

LastModifiedDate

09/30/2025