BLAKE A. DOUGLAS Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056016488

License Status

ACTIVE

Business

First Name

BLAKE

Middle

Last Name

DOUGLAS

Business Name

BLAKE A. DOUGLAS

Original Issue Date

03/15/2025

Effective Date

11/19/2025

Expiration Date

12/31/2027

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/19/2025