BENJAMIN JOHN HERSTAM Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028526

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

JOHN

Last Name

HERSTAM

Business Name

BENJAMIN JOHN HERSTAM

Original Issue Date

08/22/2024

Effective Date

08/22/2024

Expiration Date

09/30/2026

City

PHOENIX

State

Zip

85007

Ever Disciplined

LastModifiedDate

08/22/2024