PAUL T BLANDINA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015049

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

Last Name

BLANDINA

Business Name

PAUL T BLANDINA

Original Issue Date

04/28/2006

Effective Date

09/07/2016

Expiration Date

09/30/2018

City

SHILOH

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

12/05/2018

Case Number

2018008554

Action

Suspension

Discipline Start Date

11/09/2018

Discipline Reason

Failure to file and/or pay Illinois state income taxes.