BLAINE ERICKSON HAWKES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021463

License Status

NOT RENEWED

Business

First Name

BLAINE

Middle

ERICKSON

Last Name

HAWKES

Business Name

BLAINE ERICKSON HAWKES

Original Issue Date

08/05/2015

Effective Date

10/02/2018

Expiration Date

09/30/2020

City

TWIN FALLS

State

Zip

83301

County

CRAWFORD

Ever Disciplined

LastModifiedDate

01/14/2021