JAMIE L BOULANGER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006992

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

Last Name

BOULANGER

Business Name

JAMIE L BOULANGER

Original Issue Date

11/10/2014

Effective Date

09/05/2024

Expiration Date

09/30/2025

City

KEY LARGO

State

Zip

33037

Ever Disciplined

LastModifiedDate

12/30/2025