MARY A BLAZEVICH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018713

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

BLAZEVICH

Business Name

MARY A BLAZEVICH

Original Issue Date

08/11/2011

Effective Date

09/25/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2024