Indiana
Professional Licensing Agency
VENKATA BONGARALA
Physical Therapist
License number
05006453A
Date granted
02/18/1999
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Lindenhurst IL 60046
indianalicensing.org
ID 8374722
LAST UPDATED 2024-04-01 12:09:20 UTC
LAST UPDATED 2024-04-01 12:09:20 UTC
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