BENJAMIN J GULOTTA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008382

License Status

NOT RENEWED

Business

First Name

BENJAMIN J

Last Name

GULOTTA

Business Name

BENJAMIN J GULOTTA

Original Issue Date

10/05/1994

Effective Date

08/09/2022

Expiration Date

09/30/2024

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/27/2025