LUCAS BENJAMIN WILSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022114

License Status

NOT RENEWED

Business

First Name

LUCAS

Middle

BENJAMIN

Last Name

WILSON

Business Name

LUCAS BENJAMIN WILSON

Original Issue Date

04/05/2016

Effective Date

08/23/2018

Expiration Date

09/30/2020

City

PLATTEVILLE

State

Zip

53818

Ever Disciplined

LastModifiedDate

01/14/2021