KARLIE A BLAZ - Physical Therapist License in Illinois | # 160009515

KARLIE A BLAZ

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009515

License Status

NOT RENEWED

Business

N

First Name

KARLIE

Middle

A

Last Name

BLAZ

Business Name

KARLIE A BLAZ

Original Issue Date

01/26/2022

Effective Date

01/26/2022

Expiration Date

09/30/2023

State

IL

Ever Disciplined

N

LastModifiedDate

02/02/2024