DIONNE J BLACKMAN MD - Medical Doctor License in Illinois | # 125031426

DIONNE J BLACKMAN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031426

License Status

EXPIRED

Business

N

First Name

DIONNE

Middle

J

Last Name

BLACKMAN

Suffix

MD

Business Name

DIONNE J BLACKMAN MD

Original Issue Date

05/24/1994

Effective Date

05/24/1994

Expiration Date

06/20/1997

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006