BENJAMIN J TIERNEY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009687

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

TIERNEY

Business Name

BENJAMIN J TIERNEY

Original Issue Date

10/11/2022

Effective Date

10/11/2022

Expiration Date

09/30/2023

City

INDIANAPOLIS

State

Zip

46237

Ever Disciplined

LastModifiedDate

02/02/2024