JEAN M LEAFBLAD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002216

License Status

NOT RENEWED

Business

First Name

JEAN M

Last Name

LEAFBLAD

Business Name

JEAN M LEAFBLAD

Original Issue Date

06/08/1976

Effective Date

06/08/1976

Expiration Date

08/01/1982

City

CHIPPEWA FALLS

State

Zip

54729

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005