MARY MAUREEN BLACKBURN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003932

License Status

NOT RENEWED

Business

First Name

MARY

Middle

MAUREEN

Last Name

BLACKBURN

Business Name

MARY MAUREEN BLACKBURN

Original Issue Date

05/02/1983

Effective Date

02/07/2007

Expiration Date

09/30/2008

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

11/06/2008