License holder summary

VICKI ELLEN BRUNGARD is a Physical Therapist Assistant licensed to practice in Pennsylvania. The address on file for VICKI ELLEN BRUNGARD is WILLIAMSPORT PA 17702. This licensed professional license is not current. The license was granted 08/03/1998 and expired on 12/31/2008.

Pennsylvania

Department of State

VICKI ELLEN BRUNGARD
Physical Therapist Assistant
License number
TE002918L
Date granted
08/03/1998
Date expires
12/31/2008
Class
Physical Therapist Assistant
Status
Voided
Address
WILLIAMSPORT PA 17702
palicensing.org
ID 17302477
LAST UPDATED 2024-03-21 21:32:12 UTC

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