TRISHA ANNE BLICKHAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017521

License Status

NOT RENEWED

Business

First Name

TRISHA

Middle

ANNE

Last Name

BLICKHAN

Business Name

TRISHA ANNE BLICKHAN

Original Issue Date

11/23/2009

Effective Date

11/23/2009

Expiration Date

09/30/2010

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

11/08/2010