BENJAMIN S ROTH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025691

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

Last Name

ROTH

Business Name

BENJAMIN S ROTH

Original Issue Date

12/23/2020

Effective Date

07/06/2024

Expiration Date

09/30/2026

City

NORMAL

State

Zip

61761

Ever Disciplined

LastModifiedDate

07/06/2024