SALLY KRISTINE BLOSSOM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038011388

License Status

NOT RENEWED

Business

First Name

SALLY

Middle

KRISTINE

Last Name

BLOSSOM

Business Name

SALLY KRISTINE BLOSSOM

Original Issue Date

03/17/2009

Effective Date

03/17/2009

Expiration Date

07/31/2011

City

VASSAR

State

Zip

48768

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/10/2011