MICHAEL B BLOTNER MD - Medical Doctor License in Illinois | # 036066332

MICHAEL B BLOTNER MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066332

License Status

INACTIVE

Business

N

First Name

MICHAEL B

Last Name

BLOTNER

Suffix

MD

Business Name

MICHAEL B BLOTNER MD

Original Issue Date

03/25/1983

Effective Date

03/25/1983

Expiration Date

07/31/1987

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006