BLAKE CHILDRESS - Physician Assistant License in Illinois | # 085011277

BLAKE CHILDRESS

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011277

License Status

ACTIVE

Business

N

First Name

BLAKE

Last Name

CHILDRESS

Business Name

BLAKE CHILDRESS

Original Issue Date

06/04/2025

Effective Date

01/22/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

01/22/2026