PATRICIA A BLAKE - Physical Therapist License in Illinois | # 070004701

PATRICIA A BLAKE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004701

License Status

NOT RENEWED

Business

N

First Name

PATRICIA A

Last Name

BLAKE

Business Name

PATRICIA A BLAKE

Original Issue Date

01/15/1986

Effective Date

08/06/2022

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/27/2025