KATHERINE M BENAVENTE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024319

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

Last Name

BENAVENTE

Business Name

KATHERINE M BENAVENTE

Original Issue Date

05/17/2019

Effective Date

08/10/2020

Expiration Date

09/30/2022

City

MADISON

State

Zip

53704

Ever Disciplined

LastModifiedDate

11/28/2022