BREANNE BLACKHAM Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024826

License Status

INACTIVE

Business

First Name

BREANNE

Last Name

BLACKHAM

Business Name

BREANNE BLACKHAM

Original Issue Date

11/05/2019

Effective Date

11/05/2019

Expiration Date

09/30/2020

City

PALATINE

State

Zip

60074

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2020