KACY J BLUMENSTOCK - Physical Therapist License in Illinois | # 070014801

KACY J BLUMENSTOCK

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014801

License Status

NOT RENEWED

Business

N

First Name

KACY

Middle

J

Last Name

BLUMENSTOCK

Business Name

KACY J BLUMENSTOCK

Original Issue Date

01/06/2006

Effective Date

09/22/2010

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

01/16/2013