BLAKE A. DOUGLAS - Occupational Therapist License in Illinois | # 056016488

BLAKE A. DOUGLAS

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056016488

License Status

ACTIVE

Business

N

First Name

BLAKE

Middle

A.

Last Name

DOUGLAS

Business Name

BLAKE A. DOUGLAS

Original Issue Date

03/15/2025

Effective Date

11/19/2025

Expiration Date

12/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

11/19/2025