KELSEY RAE GEORGE BLOOM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022615

License Status

NOT RENEWED

Business

First Name

KELSEY

Middle

RAE

Last Name

GEORGE BLOOM

Business Name

KELSEY RAE GEORGE BLOOM

Original Issue Date

08/29/2016

Effective Date

09/13/2022

Expiration Date

09/30/2024

City

FRANKLIN

State

Zip

53132

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/27/2025