DANIEL R BLANCK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026234

License Status

ACTIVE

Business

First Name

DANIEL

Middle

Last Name

BLANCK

Business Name

DANIEL R BLANCK

Original Issue Date

09/03/2021

Effective Date

07/11/2024

Expiration Date

09/30/2026

City

MACHESNEY PARK

State

Zip

61115

Ever Disciplined

LastModifiedDate

07/11/2024