SIDNEY JASON BLAIR MD - Medical Doctor License in Illinois | # 036029627

SIDNEY JASON BLAIR MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036029627

License Status

INACTIVE

Business

N

Title

MD

First Name

SIDNEY

Middle

JASON

Last Name

BLAIR

Business Name

SIDNEY JASON BLAIR MD

Original Issue Date

09/19/1949

Effective Date

04/17/2008

Expiration Date

07/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

04/07/2011