BLAKE BAILEY ANDERSON MD - Medical Doctor License in Illinois | # 036134720

BLAKE BAILEY ANDERSON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134720

License Status

NOT RENEWED

Business

N

Title

MD

First Name

BLAKE

Middle

BAILEY

Last Name

ANDERSON

Business Name

BLAKE BAILEY ANDERSON MD

Original Issue Date

03/03/2014

Effective Date

06/05/2014

Expiration Date

07/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

11/01/2017