SHAWN TYLER BLAKELEY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016896

License Status

ACTIVE

Business

First Name

SHAWN

Middle

TYLER

Last Name

BLAKELEY

Business Name

SHAWN TYLER BLAKELEY

Original Issue Date

02/04/2009

Effective Date

08/23/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

08/23/2024