DAWN RENEE BLAETTNER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011824

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

RENEE

Last Name

BLAETTNER

Business Name

DAWN RENEE BLAETTNER

Original Issue Date

03/17/2000

Effective Date

03/17/2000

Expiration Date

09/30/2002

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005