LISA L BLACKWOOD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006191

License Status

NOT RENEWED

Business

First Name

LISA L

Last Name

BLACKWOOD

Business Name

LISA L BLACKWOOD

Original Issue Date

08/31/1990

Effective Date

08/31/1990

Expiration Date

09/30/1992

City

LENEXA

State

Zip

66215

County

KANSAS

Ever Disciplined

LastModifiedDate

10/14/2005