MICHELLE R BLUME Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004317

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

Last Name

BLUME

Business Name

MICHELLE R BLUME

Original Issue Date

08/19/2004

Effective Date

09/17/2021

Expiration Date

09/30/2023

City

BASTROP

State

Zip

78602

County

TEXAS

Ever Disciplined

LastModifiedDate

09/07/2023