JEANNE MARIE BENNETT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011289

License Status

NOT RENEWED

Business

First Name

JEANNE

Middle

MARIE

Last Name

BENNETT

Business Name

JEANNE MARIE BENNETT

Original Issue Date

05/04/1999

Effective Date

05/04/1999

Expiration Date

09/30/2000

City

GRAND RAPIDS

State

Zip

49546

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/17/2005