MEGAN NICOLE BLY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018038

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

NICOLE

Last Name

BLY

Business Name

MEGAN NICOLE BLY

Original Issue Date

08/11/2010

Effective Date

07/12/2012

Expiration Date

09/30/2014

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014