TANNER J BENSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006710

License Status

NOT RENEWED

Business

First Name

TANNER

Middle

Last Name

BENSON

Business Name

TANNER J BENSON

Original Issue Date

02/06/2014

Effective Date

08/24/2015

Expiration Date

09/30/2017

City

SPARLAND

State

Zip

61565

Ever Disciplined

LastModifiedDate

11/01/2017