MARY MAUREEN BLACKBURN - Physical Therapist License in Illinois | # 070003932

MARY MAUREEN BLACKBURN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003932

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

MAUREEN

Last Name

BLACKBURN

Business Name

MARY MAUREEN BLACKBURN

Original Issue Date

05/02/1983

Effective Date

02/07/2007

Expiration Date

09/30/2008

State

IL

Ever Disciplined

N

LastModifiedDate

11/06/2008