BLAIR W JOHNSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005097

License Status

NOT RENEWED

Business

First Name

BLAIR

Middle

Last Name

JOHNSON

Business Name

BLAIR W JOHNSON

Original Issue Date

05/11/1987

Effective Date

05/11/1987

Expiration Date

09/30/1990

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

10/14/2005