KIMBERLY D BLANKSHAIN MD - Medical Doctor License in Illinois | # 036155745

KIMBERLY D BLANKSHAIN MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155745

License Status

ACTIVE

Business

N

Title

MD

First Name

KIMBERLY

Middle

D

Last Name

BLANKSHAIN

Business Name

KIMBERLY D BLANKSHAIN MD

Original Issue Date

02/22/2021

Effective Date

04/15/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

04/15/2023