KATHLEEN SUZANN BONSALL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017740

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

SUZANN

Last Name

BONSALL

Business Name

KATHLEEN SUZANN BONSALL

Original Issue Date

04/14/2010

Effective Date

07/16/2012

Expiration Date

09/30/2014

City

DEPTFORD

State

Zip

08096

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

11/17/2014