JEAN M LEAFBLAD - Physical Therapist License in Wisconsin | # 070002216

JEAN M LEAFBLAD

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002216

License Status

NOT RENEWED

Business

N

First Name

JEAN M

Last Name

LEAFBLAD

Business Name

JEAN M LEAFBLAD

Original Issue Date

06/08/1976

Effective Date

06/08/1976

Expiration Date

08/01/1982

State

WI

Ever Disciplined

N

LastModifiedDate

10/14/2005