GREGORY L BLASKE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005511

License Status

ACTIVE

Business

First Name

GREGORY L

Last Name

BLASKE

Business Name

GREGORY L BLASKE

Original Issue Date

10/12/1988

Effective Date

08/21/2024

Expiration Date

09/30/2026

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

08/21/2024