BLAKE DALBERT CHRISTENSEN DO - Medical Doctor License in Illinois | # 036135761

BLAKE DALBERT CHRISTENSEN DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135761

License Status

NOT RENEWED

Business

N

Title

DO

First Name

BLAKE

Middle

DALBERT

Last Name

CHRISTENSEN

Business Name

BLAKE DALBERT CHRISTENSEN DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

07/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

11/01/2017