KRISTEN M BONK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019488

License Status

INACTIVE

Business

First Name

KRISTEN

Middle

Last Name

BONK

Business Name

KRISTEN M BONK

Original Issue Date

08/30/2012

Effective Date

08/18/2022

Expiration Date

09/30/2024

City

MARYVILLE

State

Zip

37801

Ever Disciplined

LastModifiedDate

08/18/2022