Stephanie Nicole Blaha

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085007939

Status

Expired (Not Renewed)

First issued

September 10, 2020

Expired

March 1, 2022

License holder

Stephanie Nicole Blaha

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

09/10/2020

Other Illinois licenses under this name

• IL
  Stephanie Nicole Blaha

  License 38*****63

  Physician Assistant Controlled Substance
  Expired

  Decatur, IL

  Expired Mar 1, 2022

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