DONNA BLANCAS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009971

License Status

NOT RENEWED

Business

First Name

DONNA

Last Name

BLANCAS

Business Name

DONNA BLANCAS

Original Issue Date

02/10/1997

Effective Date

09/24/2020

Expiration Date

09/30/2022

City

KIHEI

State

Zip

96753

Ever Disciplined

LastModifiedDate

11/28/2022