BLAKE M WITTMAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070029217

License Status

ACTIVE

Business

First Name

BLAKE

Middle

Last Name

WITTMAN

Business Name

BLAKE M WITTMAN

Original Issue Date

06/11/2025

Effective Date

06/11/2025

Expiration Date

09/30/2026

City

JERSEYVILLE

State

Zip

62052

Ever Disciplined

LastModifiedDate

06/11/2025