DOUGLAS B BLAKEY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000106

License Status

ACTIVE

Business

First Name

DOUGLAS B

Last Name

BLAKEY

Business Name

DOUGLAS B BLAKEY

Original Issue Date

07/01/1991

Effective Date

08/17/2025

Expiration Date

09/30/2027

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

08/17/2025