STACY J BENNETT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012187

License Status

ACTIVE

Business

First Name

STACY

Middle

Last Name

BENNETT

Business Name

STACY J BENNETT

Original Issue Date

11/01/2000

Effective Date

09/04/2024

Expiration Date

09/30/2026

City

OMAHA

State

Zip

68130

Ever Disciplined

LastModifiedDate

11/13/2024