THOMAS BLACKWELL MD - Medical Doctor License in Illinois | # 125084155

THOMAS BLACKWELL MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084155

License Status

ACTIVE

Business

N

Title

MD

First Name

THOMAS

Last Name

BLACKWELL

Business Name

THOMAS BLACKWELL MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

State

IL

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

N

LastModifiedDate

06/03/2024