MATTHEW D BLEVINS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012903

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

BLEVINS

Business Name

MATTHEW D BLEVINS

Original Issue Date

03/13/2002

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/08/2006