ANTOINETTE R MANGINA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009887

License Status

ACTIVE

Business

First Name

ANTOINETTE

Middle

Last Name

MANGINA

Business Name

ANTOINETTE R MANGINA

Original Issue Date

07/27/2023

Effective Date

08/26/2025

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61701

Ever Disciplined

LastModifiedDate

08/26/2025