JUAN J BLAS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006401

License Status

INACTIVE

Business

First Name

JUAN J

Last Name

BLAS

Business Name

JUAN J BLAS

Original Issue Date

05/25/1991

Effective Date

08/19/2010

Expiration Date

09/30/2012

City

HOLLYWOOD

State

Zip

33020

County

FLORIDA

Ever Disciplined

LastModifiedDate

07/05/2012