BENJAMIN D DETZNER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008772

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

Last Name

DETZNER

Business Name

BENJAMIN D DETZNER

Original Issue Date

10/25/2019

Effective Date

09/25/2025

Expiration Date

09/30/2027

City

BUFFALO GROVE

State

Zip

60089

Ever Disciplined

LastModifiedDate

09/25/2025