PAUL J BENNETT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019448

License Status

ACTIVE

Business

First Name

PAUL

Middle

Last Name

BENNETT

Business Name

PAUL J BENNETT

Original Issue Date

08/23/2012

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/03/2024