Walter R Blase
ActiveIllinois license 096000717
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 096000717
- Status
- Active
- First issued
- April 26, 1995
- Expires
- May 31, 2028
- License holder
- Walter R Blase
- Entity type
- Individual
Classifications
- Licensed Athletic Trainer Therapy & Rehabilitation
More from the license record
- Current term began
- 04/07/2026
Contact
Roswell, GA 30075
Georgia County