BENJAMIN ROUSSEL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025086

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Last Name

ROUSSEL

Business Name

BENJAMIN ROUSSEL

Original Issue Date

05/08/2020

Effective Date

09/04/2020

Expiration Date

09/30/2022

City

SAINT LOUIS

State

Zip

63118

Ever Disciplined

LastModifiedDate

11/28/2022