STEPHANIE M BUBENKO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002740

License Status

NOT RENEWED

Business

First Name

STEPHANIE M

Last Name

BUBENKO

Business Name

STEPHANIE M BUBENKO

Original Issue Date

12/18/1978

Effective Date

12/18/1978

Expiration Date

09/30/1988

City

SHAWNEE

State

Zip

66216

County

KANSAS

Ever Disciplined

LastModifiedDate

10/14/2005