Wisconsin
Department of Safety and Professional Services
Blackwell, Connie J
Physical Therapist Assistant
License number
1326-19
Date granted
09/08/2006
Date expires
02/28/2015
Class
Physical Therapist Assistant
Status
Active
wisconsinlicensing.org
ID 12757595
LAST UPDATED 2024-02-27 15:10:21 UTC
LAST UPDATED 2024-02-27 15:10:21 UTC
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