PALMER J BLAKLEY MD - Medical Doctor License in Illinois | # 125025549

PALMER J BLAKLEY MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025549

License Status

EXPIRED

Business

N

First Name

PALMER J

Last Name

BLAKLEY

Suffix

MD

Business Name

PALMER J BLAKLEY MD

Original Issue Date

06/19/1990

Effective Date

06/19/1990

Expiration Date

06/30/1993

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

09/22/2006