DOUGLAS E BRONSING Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005122

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

BRONSING

Business Name

DOUGLAS E BRONSING

Original Issue Date

12/01/2008

Effective Date

09/22/2009

Expiration Date

09/30/2011

City

SOUTH BEND

State

Zip

46637

County

INDIANA

Ever Disciplined

LastModifiedDate

11/04/2011