MICHAEL S BENNINGTON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011586

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

BENNINGTON

Business Name

MICHAEL S BENNINGTON

Original Issue Date

11/08/1999

Effective Date

08/13/2024

Expiration Date

09/30/2026

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

08/13/2024