SALLY KRISTINE BLOSSOM - Medical Doctor License in Michigan | # 038011388

SALLY KRISTINE BLOSSOM

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038011388

License Status

NOT RENEWED

Business

N

First Name

SALLY

Middle

KRISTINE

Last Name

BLOSSOM

Business Name

SALLY KRISTINE BLOSSOM

Original Issue Date

03/17/2009

Effective Date

03/17/2009

Expiration Date

07/31/2011

State

MI

Ever Disciplined

N

LastModifiedDate

11/10/2011