BENJAMIN JOHN GLEASON - Physical Therapist License in Wisconsin | # 160008809

BENJAMIN JOHN GLEASON

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008809

License Status

NOT RENEWED

Business

N

First Name

BENJAMIN

Middle

JOHN

Last Name

GLEASON

Business Name

BENJAMIN JOHN GLEASON

Original Issue Date

10/30/2019

Effective Date

10/30/2019

Expiration Date

01/31/2022

State

WI

Ever Disciplined

N

LastModifiedDate

05/19/2022