KACY J BLUMENSTOCK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014801

License Status

NOT RENEWED

Business

First Name

KACY

Middle

Last Name

BLUMENSTOCK

Business Name

KACY J BLUMENSTOCK

Original Issue Date

01/06/2006

Effective Date

09/22/2010

Expiration Date

09/30/2012

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/16/2013