JEAN E BENNETT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017275

License Status

NOT RENEWED

Business

First Name

JEAN

Middle

Last Name

BENNETT

Business Name

JEAN E BENNETT

Original Issue Date

07/30/2009

Effective Date

10/03/2016

Expiration Date

09/30/2018

City

SAINT LOUIS

State

Zip

63119

Ever Disciplined

LastModifiedDate

12/05/2018