MEGAN L BLEEM Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005354

License Status

INACTIVE

Business

First Name

MEGAN

Middle

Last Name

BLEEM

Business Name

MEGAN L BLEEM

Original Issue Date

11/17/2009

Effective Date

09/28/2021

Expiration Date

09/30/2023

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

09/22/2023