ALYCIA F BENGTSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002484

License Status

NOT RENEWED

Business

First Name

ALYCIA F

Last Name

BENGTSON

Business Name

ALYCIA F BENGTSON

Original Issue Date

09/26/1996

Effective Date

08/14/2009

Expiration Date

09/30/2011

City

APPLE VALLEY

State

Zip

55124

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/04/2011