JILL M BLACKMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005156

License Status

NOT RENEWED

Business

First Name

JILL M

Last Name

BLACKMAN

Business Name

JILL M BLACKMAN

Original Issue Date

06/29/1987

Effective Date

06/29/1987

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005