DONNA JO BLAKE - Physical Therapist License in Illinois | # 070002205

DONNA JO BLAKE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002205

License Status

NOT RENEWED

Business

N

First Name

DONNA JO

Last Name

BLAKE

Business Name

DONNA JO BLAKE

Original Issue Date

06/08/1976

Effective Date

06/08/1976

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005