NATHAN DEBLAUW Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025121

License Status

ACTIVE

Business

First Name

NATHAN

Last Name

DEBLAUW

Business Name

NATHAN DEBLAUW

Original Issue Date

06/04/2020

Effective Date

08/12/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

08/12/2024