LISA KAY BENJAMIN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008264

License Status

INACTIVE

Business

First Name

LISA KAY

Last Name

BENJAMIN

Business Name

LISA KAY BENJAMIN

Original Issue Date

08/22/1994

Effective Date

09/01/2020

Expiration Date

09/30/2022

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

06/30/2022