MICHAEL B BLOTNER MD - Medical Doctor License in Illinois | # 125013055

MICHAEL B BLOTNER MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013055

License Status

EXPIRED

Business

N

First Name

MICHAEL B

Last Name

BLOTNER

Suffix

MD

Business Name

MICHAEL B BLOTNER MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

07/01/1983

State

IL

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

N

LastModifiedDate

09/22/2006