MADELINE M BLAHA Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013805

License Status

ACTIVE

Business

First Name

MADELINE

Middle

Last Name

BLAHA

Business Name

MADELINE M BLAHA

Original Issue Date

08/19/2020

Effective Date

10/30/2025

Expiration Date

12/31/2027

City

BOLINGBROOK

State

Zip

60490

County

WILL

Ever Disciplined

LastModifiedDate

10/30/2025