EDITH S BLASINGAME Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001724

License Status

NOT RENEWED

Business

First Name

EDITH S

Last Name

BLASINGAME

Business Name

EDITH S BLASINGAME

Original Issue Date

10/03/1973

Effective Date

10/03/1973

Expiration Date

09/30/1992

City

COUNCIL BLUFFS

State

Zip

51501

County

IOWA

Ever Disciplined

LastModifiedDate

10/14/2005