CHARLES E BENNETT Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001147

License Status

INACTIVE

Business

First Name

CHARLES E

Last Name

BENNETT

Business Name

CHARLES E BENNETT

Original Issue Date

12/13/1991

Effective Date

12/13/1991

Expiration Date

09/30/1993

City

JOHNSON CITY

State

Zip

37604

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/14/2005