PATRICE BLOOME - Physical Therapist License in Illinois | # 070006352

PATRICE BLOOME

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006352

License Status

NOT RENEWED

Business

N

First Name

PATRICE

Last Name

BLOOME

Business Name

PATRICE BLOOME

Original Issue Date

01/15/1991

Effective Date

01/15/1991

Expiration Date

09/30/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005