License holder summary

GINA RENEE BLAKE is a Physical Therapy - Physical Therapist licensed to practice in Michigan. This licensed professional license is not current. The license was granted 11/06/1998 and expired on 07/31/1999.

Michigan

Department of Licensing and Regulation

GINA RENEE BLAKE
Physical Therapy - Physical Therapist
License number
5501009802
Date granted
11/06/1998
Date expires
07/31/1999
Class
Physical Therapy - Physical Therapist
Status
Lapsed
Address
michiganlicensing.org
ID 39290687
LAST UPDATED 2026-05-07 15:01:56 UTC

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