SIDNEY JASON BLAIR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036029627

License Status

INACTIVE

Business

Title

First Name

SIDNEY

Middle

JASON

Last Name

BLAIR

Business Name

SIDNEY JASON BLAIR MD

Original Issue Date

09/19/1949

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011