BRIAN R BENTRUP - Physical Therapist License in Arizona | # 070013169

BRIAN R BENTRUP

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013169

License Status

INACTIVE

Business

N

First Name

BRIAN

Middle

R

Last Name

BENTRUP

Business Name

BRIAN R BENTRUP

Original Issue Date

08/29/2002

Effective Date

08/29/2002

Expiration Date

09/30/2004

State

AZ

Ever Disciplined

N

LastModifiedDate

09/01/2006