PATRICIA A BLAKE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004701

License Status

NOT RENEWED

Business

First Name

PATRICIA A

Last Name

BLAKE

Business Name

PATRICIA A BLAKE

Original Issue Date

01/15/1986

Effective Date

08/06/2022

Expiration Date

09/30/2024

City

HOMER GLEN

State

Zip

60491

County

WILL

Ever Disciplined

LastModifiedDate

02/27/2025