NEAL B BLATT - Medical Doctor License in Illinois | # 125045121

NEAL B BLATT

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045121

License Status

EXPIRED

Business

N

First Name

NEAL

Middle

B

Last Name

BLATT

Business Name

NEAL B BLATT

Original Issue Date

06/24/2002

Effective Date

06/24/2002

Expiration Date

06/23/2005

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006