DWIGHT L BLAKELY - Podiatrist License in Illinois | # 016001186

DWIGHT L BLAKELY

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016001186

License Status

INACTIVE

Business

N

First Name

DWIGHT L

Last Name

BLAKELY

Business Name

DWIGHT L BLAKELY

Original Issue Date

07/13/1933

Effective Date

07/13/1933

Expiration Date

01/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006