ROBIN L BENNETT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001356

License Status

NOT RENEWED

Business

First Name

ROBIN L

Last Name

BENNETT

Business Name

ROBIN L BENNETT

Original Issue Date

01/21/1992

Effective Date

09/07/2017

Expiration Date

09/30/2019

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

01/13/2020