BENJAMIN JOSHUA C BARTOLOME Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017758

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

JOSHUA C

Last Name

BARTOLOME

Business Name

BENJAMIN JOSHUA C BARTOLOME

Original Issue Date

05/04/2010

Effective Date

08/25/2016

Expiration Date

09/30/2018

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

12/05/2018