MALLORY N BLASSINGHAM - Physical Therapist License in Illinois | # 070028112

MALLORY N BLASSINGHAM

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028112

License Status

ACTIVE

Business

N

First Name

MALLORY

Middle

N

Last Name

BLASSINGHAM

Business Name

MALLORY N BLASSINGHAM

Original Issue Date

03/19/2024

Effective Date

08/13/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

08/13/2024