KARLIE A BLAZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009515

License Status

NOT RENEWED

Business

First Name

KARLIE

Middle

Last Name

BLAZ

Business Name

KARLIE A BLAZ

Original Issue Date

01/26/2022

Effective Date

01/26/2022

Expiration Date

09/30/2023

City

MCHENRY

State

Zip

60050

Ever Disciplined

LastModifiedDate

02/02/2024