BREANNE BLACKHAM - Physical Therapist License in Illinois | # 070024826

BREANNE BLACKHAM

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024826

License Status

INACTIVE

Business

N

First Name

BREANNE

Last Name

BLACKHAM

Business Name

BREANNE BLACKHAM

Original Issue Date

11/05/2019

Effective Date

11/05/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2020