BENJAMIN P DE WAARD Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013156

License Status

INACTIVE

Business

First Name

BENJAMIN

Middle

Last Name

DE WAARD

Business Name

BENJAMIN P DE WAARD

Original Issue Date

08/26/2002

Effective Date

08/26/2002

Expiration Date

09/30/2004

City

LINCOLN

State

Zip

68506

County

NEBRASKA

Ever Disciplined

LastModifiedDate

09/01/2006