CHERYL ANN BLAZ Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002558

License Status

ACTIVE

Business

First Name

CHERYL ANN

Last Name

BLAZ

Business Name

CHERYL ANN BLAZ

Original Issue Date

01/11/1978

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

07/03/2024