ALISON M BLYTH MD - Medical Doctor License in Illinois | # 125055965

ALISON M BLYTH MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055965

License Status

EXPIRED

Business

N

First Name

ALISON

Middle

M

Last Name

BLYTH

Suffix

MD

Business Name

ALISON M BLYTH MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

07/08/2010