BLAKE CHILDRESS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011277

License Status

ACTIVE

Business

First Name

BLAKE

Last Name

CHILDRESS

Business Name

BLAKE CHILDRESS

Original Issue Date

06/04/2025

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

01/22/2026