LISA L BLACKWOOD - Physical Therapist License in Kansas | # 070006191

LISA L BLACKWOOD

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006191

License Status

NOT RENEWED

Business

N

First Name

LISA L

Last Name

BLACKWOOD

Business Name

LISA L BLACKWOOD

Original Issue Date

08/31/1990

Effective Date

08/31/1990

Expiration Date

09/30/1992

State

KS

Ever Disciplined

N

LastModifiedDate

10/14/2005