ROBERT HENRY BLACKWELL MD - Medical Doctor License in Illinois | # 036138479

ROBERT HENRY BLACKWELL MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138479

License Status

ACTIVE

Business

N

Title

MD

First Name

ROBERT

Middle

HENRY

Last Name

BLACKWELL

Business Name

ROBERT HENRY BLACKWELL MD

Original Issue Date

06/26/2015

Effective Date

06/20/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

06/20/2023