LLOYD J BLAKEMAN III DO SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042618163

License Status

NOT RENEWED

Business

Business Name

LLOYD J BLAKEMAN III DO SC

Original Issue Date

01/28/2004

Effective Date

10/26/2011

Expiration Date

01/01/2013

City

WORTH

State

Zip

60482

County

COOK

Ever Disciplined

LastModifiedDate

02/21/2013