KIMBERLY A BLANK - Physical Therapist License in Michigan | # 160002910

KIMBERLY A BLANK

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002910

License Status

INACTIVE

Business

N

First Name

KIMBERLY A

Last Name

BLANK

Business Name

KIMBERLY A BLANK

Original Issue Date

12/29/1997

Effective Date

12/29/1997

Expiration Date

09/30/2005

State

MI

Ever Disciplined

N

LastModifiedDate

10/17/2005