HEATHER ALAYNE BLAZO Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004952

License Status

INACTIVE

Business

First Name

HEATHER

Middle

ALAYNE

Last Name

BLAZO

Business Name

HEATHER ALAYNE BLAZO

Original Issue Date

02/07/2008

Effective Date

02/07/2008

Expiration Date

09/30/2009

City

MIAMISBURG

State

Zip

45342

County

OHIO

Ever Disciplined

LastModifiedDate

09/04/2009