DOMINIQUE BLACKMON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070029031

License Status

ACTIVE

Business

First Name

DOMINIQUE

Last Name

BLACKMON

Business Name

DOMINIQUE BLACKMON

Original Issue Date

03/19/2025

Effective Date

03/19/2025

Expiration Date

09/30/2026

City

DESOTO

State

Zip

75115

Ever Disciplined

LastModifiedDate

03/19/2025