STEPHEN ANDREW BLATT MD - Medical Doctor License in Illinois | # 125051188

STEPHEN ANDREW BLATT MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051188

License Status

EXPIRED

Business

N

Title

MD

First Name

STEPHEN

Middle

ANDREW

Last Name

BLATT

Business Name

STEPHEN ANDREW BLATT MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

State

IL

Specialty/Qualifier

Ophthalmology

Ever Disciplined

N

LastModifiedDate

07/08/2010