JOHN EDWARD A BLAIR MD - Medical Doctor License in Illinois | # 125045674

JOHN EDWARD A BLAIR MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045674

License Status

EXPIRED

Business

N

First Name

JOHN EDWARD

Middle

A

Last Name

BLAIR

Suffix

MD

Business Name

JOHN EDWARD A BLAIR MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/23/2006

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006