MEGHAN E BLAKE MD - Medical Doctor License in Illinois | # 125044435

MEGHAN E BLAKE MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044435

License Status

EXPIRED

Business

N

First Name

MEGHAN

Middle

E

Last Name

BLAKE

Suffix

MD

Business Name

MEGHAN E BLAKE MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2006