JEAN E BLANK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003666

License Status

INACTIVE

Business

First Name

JEAN E

Last Name

BLANK

Business Name

JEAN E BLANK

Original Issue Date

04/02/1982

Effective Date

08/06/2018

Expiration Date

09/30/2020

City

PORT ST LUCIE

State

Zip

34983

County

FLORIDA

Ever Disciplined

LastModifiedDate

07/27/2020