ZACHARY JAMES BLAKE - Physical Therapist License in Ohio | # 160006030

ZACHARY JAMES BLAKE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006030

License Status

NOT RENEWED

Business

N

First Name

ZACHARY

Middle

JAMES

Last Name

BLAKE

Business Name

ZACHARY JAMES BLAKE

Original Issue Date

07/24/2012

Effective Date

07/09/2013

Expiration Date

09/30/2015

State

OH

Ever Disciplined

N

LastModifiedDate

11/03/2015