Madison A Blackburn Dpt
ActiveIllinois license 070028436
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 070028436
- Status
- Active
- First issued
- August 9, 2024
- Expired
- September 30, 2026
- License holder
- Madison A Blackburn
- Entity type
- Individual
Classifications
- Licensed Physical Therapist Therapy & Rehabilitation
More from the license record
- Current term began
- 08/09/2024
Other Illinois licenses under this name
-
IL
ExpiredMonticello, ILExpired Mar 31, 2023
Contact
Saint Louis, MO 63110