MARTHA E BLAKELEY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012907

License Status

ACTIVE

Business

First Name

MARTHA

Middle

Last Name

BLAKELEY

Business Name

MARTHA E BLAKELEY

Original Issue Date

03/14/2002

Effective Date

07/14/2024

Expiration Date

09/30/2026

City

MT STERLING

State

Zip

62353

County

BROWN

Ever Disciplined

LastModifiedDate

07/14/2024