MALLORY N BLASSINGHAM Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028112

License Status

ACTIVE

Business

First Name

MALLORY

Middle

Last Name

BLASSINGHAM

Business Name

MALLORY N BLASSINGHAM

Original Issue Date

03/19/2024

Effective Date

08/13/2024

Expiration Date

09/30/2026

City

PECATONICA

State

Zip

61063

Ever Disciplined

LastModifiedDate

08/13/2024