KRISTAN A BLOUIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004643

License Status

NOT RENEWED

Business

First Name

KRISTAN A

Last Name

BLOUIN

Business Name

KRISTAN A BLOUIN

Original Issue Date

12/31/1985

Effective Date

01/23/2019

Expiration Date

09/30/2020

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021