DALTON LEE BLACKWELL - Physical Therapist License in Illinois | # 160010452

DALTON LEE BLACKWELL

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010452

License Status

ACTIVE

Business

N

First Name

DALTON

Middle

LEE

Last Name

BLACKWELL

Business Name

DALTON LEE BLACKWELL

Original Issue Date

07/30/2025

Effective Date

07/30/2025

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

07/30/2025