WALTER R BLASE - Athletic Trainer License in Georgia | # 096000717

WALTER R BLASE

Business Entity

ACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000717

License Status

ACTIVE

Business

N

First Name

WALTER R

Last Name

BLASE

Business Name

WALTER R BLASE

Original Issue Date

04/26/1995

Effective Date

04/07/2026

Expiration Date

05/31/2028

State

GA

Ever Disciplined

N

LastModifiedDate

04/07/2026