License holder summary

Walter R Blase is a Athletic Trainer licensed to practice in Georgia. The address on file for Walter R Blase is 4320 North Cooper Lake Road Smyrna GA 30082-0. This licensed professional license is current. The license was granted 11/28/2000 and expired on 06/30/2016.

Georgia

Professional Licensing Board

Walter R Blase
Athletic Trainer
License number
AT000742
Date granted
11/28/2000
Date expires
06/30/2016
Class
Athletic Trainer
Status
Active
Address
4320 North Cooper Lake Road Smyrna GA 30082-0
georgialicensing.com
ID 2493777
LAST UPDATED 2026-05-24 20:13:14 UTC

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