Professional Records
License Records
Keith Bradley Blaylock
License #:
105 - Active
Category:
Athletic Training
Issued Date:
Jul 26, 1994
Effective Date:
Jul 26, 1994
Expiration Date:
May 1, 2019
Type:
Athletic Trainer
Keith Bradley Blaylock
License #:
2398 - Expired
Category:
Physical Therapy
Issued Date:
Jan 28, 2004
Effective Date:
Jul 14, 2006
Expiration Date:
Nov 1, 2006
Type:
PTA Supervisor
Keith Bradley Blaylock
License #:
2206 - Expired
Category:
Physical Therapy
Issued Date:
Oct 6, 2003
Effective Date:
Jul 14, 2006
Expiration Date:
Nov 1, 2006
Type:
PTA Supervisor
