BRADLEY M BLEVINS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005226

License Status

ACTIVE

Business

First Name

BRADLEY

Middle

Last Name

BLEVINS

Business Name

BRADLEY M BLEVINS

Original Issue Date

07/31/2009

Effective Date

07/08/2025

Expiration Date

09/30/2027

City

DIVERNON

State

Zip

62530

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/08/2025