JEREMIAH BENJAMIN BLANKENSHIP - Physical Therapist License in South Carolina | # 070017835

JEREMIAH BENJAMIN BLANKENSHIP

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017835

License Status

NOT RENEWED

Business

N

First Name

JEREMIAH

Middle

BENJAMIN

Last Name

BLANKENSHIP

Business Name

JEREMIAH BENJAMIN BLANKENSHIP

Original Issue Date

07/06/2010

Effective Date

10/01/2014

Expiration Date

09/30/2016

State

SC

Ever Disciplined

N

LastModifiedDate

11/26/2016