AMY MEREDITH BLACKBURN MD - Medical Doctor License in Illinois | # 036129242

AMY MEREDITH BLACKBURN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129242

License Status

NOT RENEWED

Business

N

First Name

AMY

Middle

MEREDITH

Last Name

BLACKBURN

Suffix

MD

Business Name

AMY MEREDITH BLACKBURN MD

Original Issue Date

11/16/2011

Effective Date

11/16/2011

Expiration Date

07/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014