TERESE M BLAKE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005789

License Status

ACTIVE

Business

First Name

TERESE

Middle

Last Name

BLAKE

Business Name

TERESE M BLAKE

Original Issue Date

09/12/2011

Effective Date

07/02/2025

Expiration Date

09/30/2027

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

08/19/2025