BRADFORD P BLAKEMAN MD SC - Medical Corporation License in Illinois | # 042007421

BRADFORD P BLAKEMAN MD SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042007421

License Status

NOT RENEWED

Business

Y

Business Name

BRADFORD P BLAKEMAN MD SC

Original Issue Date

08/05/1994

Effective Date

08/05/1994

Expiration Date

01/01/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006