DALTON LEE BLACKWELL Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010452

License Status

ACTIVE

Business

First Name

DALTON

Middle

LEE

Last Name

BLACKWELL

Business Name

DALTON LEE BLACKWELL

Original Issue Date

07/30/2025

Effective Date

07/30/2025

Expiration Date

09/30/2027

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Ever Disciplined

LastModifiedDate

07/30/2025