JILL M BLACKMAN - Physical Therapist License in Illinois | # 070005156

JILL M BLACKMAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005156

License Status

NOT RENEWED

Business

N

First Name

JILL M

Last Name

BLACKMAN

Business Name

JILL M BLACKMAN

Original Issue Date

06/29/1987

Effective Date

06/29/1987

Expiration Date

09/30/1992

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005