KATHLEEN J BENO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002098

License Status

NOT RENEWED

Business

First Name

KATHLEEN J

Last Name

BENO

Business Name

KATHLEEN J BENO

Original Issue Date

01/18/1995

Effective Date

01/18/1995

Expiration Date

09/30/2003

City

KAUKAUNA

State

Zip

54130

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005