PALMER J BLAKLEY MD - Medical Doctor License in Illinois | # 036086047

PALMER J BLAKLEY MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086047

License Status

NOT RENEWED

Business

N

First Name

PALMER J

Last Name

BLAKLEY

Suffix

MD

Business Name

PALMER J BLAKLEY MD

Original Issue Date

05/17/1993

Effective Date

04/12/2017

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021