MARK R BLAIS DPM - Podiatrist License in Illinois | # 016004098

MARK R BLAIS DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004098

License Status

NOT RENEWED

Business

N

First Name

MARK R

Last Name

BLAIS

Suffix

DPM

Business Name

MARK R BLAIS DPM

Original Issue Date

06/22/1987

Effective Date

06/22/1987

Expiration Date

01/31/1989

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006