KELLY LYNN BURGNER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025274

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

LYNN

Last Name

BURGNER

Business Name

KELLY LYNN BURGNER

Original Issue Date

07/21/2020

Effective Date

07/21/2020

Expiration Date

09/30/2022

City

CLOQUET

State

Zip

55720

Ever Disciplined

LastModifiedDate

11/28/2022