CHANELL M BLANTON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009390

License Status

ACTIVE

Business

First Name

CHANELL

Middle

Last Name

BLANTON

Business Name

CHANELL M BLANTON

Original Issue Date

09/07/2021

Effective Date

09/16/2025

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60623

Ever Disciplined

LastModifiedDate

09/16/2025