BRIAN R BENTRUP Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013169

License Status

INACTIVE

Business

First Name

BRIAN

Middle

Last Name

BENTRUP

Business Name

BRIAN R BENTRUP

Original Issue Date

08/29/2002

Effective Date

08/29/2002

Expiration Date

09/30/2004

City

CHANDLER

State

Zip

85248

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/01/2006