JAY JON BENBAN JOLITO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017549

License Status

NOT RENEWED

Business

First Name

JAY JON

Middle

BENBAN

Last Name

JOLITO

Business Name

JAY JON BENBAN JOLITO

Original Issue Date

12/14/2009

Effective Date

09/30/2014

Expiration Date

09/30/2016

City

PORTLAND

State

Zip

97239

County

OREGON

Ever Disciplined

LastModifiedDate

11/26/2016