HEATHER ALAYNE BLAZO - Physical Therapist License in Ohio | # 160004952

HEATHER ALAYNE BLAZO

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004952

License Status

INACTIVE

Business

N

First Name

HEATHER

Middle

ALAYNE

Last Name

BLAZO

Business Name

HEATHER ALAYNE BLAZO

Original Issue Date

02/07/2008

Effective Date

02/07/2008

Expiration Date

09/30/2009

State

OH

Ever Disciplined

N

LastModifiedDate

09/04/2009