LLOYD J BLAKEMAN III DO SC - Medical Corporation License in Illinois | # 042618163

LLOYD J BLAKEMAN III DO SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042618163

License Status

NOT RENEWED

Business

Y

Business Name

LLOYD J BLAKEMAN III DO SC

Original Issue Date

01/28/2004

Effective Date

10/26/2011

Expiration Date

01/01/2013

State

IL

Ever Disciplined

N

LastModifiedDate

02/21/2013