KATHRYN A BLOMENKAMP Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008971

License Status

INACTIVE

Business

First Name

KATHRYN

Middle

Last Name

BLOMENKAMP

Business Name

KATHRYN A BLOMENKAMP

Original Issue Date

07/28/2020

Effective Date

07/28/2020

Expiration Date

12/31/2021

City

LOOSE CREEK

State

Zip

65054

Ever Disciplined

LastModifiedDate

12/27/2021