RICHARD EDWARD BLAIS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012141

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

EDWARD

Last Name

BLAIS

Business Name

RICHARD EDWARD BLAIS

Original Issue Date

10/02/2000

Effective Date

07/23/2012

Expiration Date

09/30/2014

City

GULF BREEZE

State

Zip

32563

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/17/2014