JAMES GERARD BLAZ - Occupational Therapist License in Illinois | # 056001645

JAMES GERARD BLAZ

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001645

License Status

NOT RENEWED

Business

N

First Name

JAMES GERARD

Last Name

BLAZ

Business Name

JAMES GERARD BLAZ

Original Issue Date

10/27/1986

Effective Date

10/28/2023

Expiration Date

12/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

04/01/2026