TERRA M BLINT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****37

License Status

ACTIVE

Business

First Name

TERRA

Middle

Last Name

BLINT

Business Name

TERRA M BLINT

Original Issue Date

01/09/2002

Effective Date

02/02/2026

Expiration Date

03/01/2028

City

BETTENDORF

State

Zip

52722

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/02/2026