BONNIE N LACEY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028285

License Status

ACTIVE

Business

First Name

BONNIE

Middle

Last Name

LACEY

Business Name

BONNIE N LACEY

Original Issue Date

05/24/2024

Effective Date

07/11/2024

Expiration Date

09/30/2026

City

SHEBOYGAN

State

Zip

53083

Ever Disciplined

LastModifiedDate

03/05/2025