BENJAMIN A GERLOFF Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012051

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

GERLOFF

Business Name

BENJAMIN A GERLOFF

Original Issue Date

08/21/2000

Effective Date

08/21/2000

Expiration Date

09/30/2002

City

WINSLOW

State

Zip

61089

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/17/2005