BENJAMIN ALLEN LARSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021370

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

ALLEN

Last Name

LARSON

Business Name

BENJAMIN ALLEN LARSON

Original Issue Date

05/18/2015

Effective Date

08/22/2024

Expiration Date

09/30/2026

City

DAVENPORT

State

Zip

52806

Ever Disciplined

LastModifiedDate

08/22/2024