BENJAMIN JOHN GLEASON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008809

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

JOHN

Last Name

GLEASON

Business Name

BENJAMIN JOHN GLEASON

Original Issue Date

10/30/2019

Effective Date

10/30/2019

Expiration Date

01/31/2022

City

HAZEL GREEN

State

Zip

53811

Ever Disciplined

LastModifiedDate

05/19/2022