MARSHALL LEE BLANKENSHIP MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036356

License Status

INACTIVE

Business

First Name

MARSHALL LEE

Last Name

BLANKENSHIP

Suffix

Business Name

MARSHALL LEE BLANKENSHIP MD

Original Issue Date

12/09/1959

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

06/08/2008