LUCAS BENJAMIN WILSON - Physical Therapist License in Wisconsin | # 070022114

LUCAS BENJAMIN WILSON

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022114

License Status

NOT RENEWED

Business

N

First Name

LUCAS

Middle

BENJAMIN

Last Name

WILSON

Business Name

LUCAS BENJAMIN WILSON

Original Issue Date

04/05/2016

Effective Date

08/23/2018

Expiration Date

09/30/2020

State

WI

Ever Disciplined

N

LastModifiedDate

01/14/2021