BLAKE CHARLES RYAN DPT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027036

License Status

ACTIVE

Business

Title

DPT

First Name

BLAKE

Middle

CHARLES

Last Name

RYAN

Business Name

BLAKE CHARLES RYAN DPT

Original Issue Date

09/30/2022

Effective Date

09/03/2024

Expiration Date

09/30/2026

City

ATKINSON

State

Zip

61235

County

HENRY

Ever Disciplined

LastModifiedDate

09/03/2024