JOSEPH M BLATT - Medical Doctor License in Illinois | # 125014487

JOSEPH M BLATT

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014487

License Status

EXPIRED

Business

N

First Name

JOSEPH

Middle

M

Last Name

BLATT

Business Name

JOSEPH M BLATT

Original Issue Date

06/25/1982

Effective Date

06/25/1982

Expiration Date

07/01/1984

State

IL

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006