HOWARD G BLACKSTONE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050833

License Status

NOT RENEWED

Business

First Name

HOWARD G

Last Name

BLACKSTONE

Suffix

Business Name

HOWARD G BLACKSTONE MD

Original Issue Date

03/21/1975

Effective Date

03/21/1975

City

LINCOLNWOOD

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006