BRIAN L BUGALSKI Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002829

License Status

NOT RENEWED

Business

First Name

BRIAN L

Last Name

BUGALSKI

Business Name

BRIAN L BUGALSKI

Original Issue Date

12/18/1978

Effective Date

12/18/1978

Expiration Date

09/30/2000

City

WAUKESHA

State

Zip

53186

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005