KENNETH MORRIS BLAIR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053547

License Status

NOT RENEWED

Business

First Name

KENNETH MORRIS

Last Name

BLAIR

Suffix

Business Name

KENNETH MORRIS BLAIR MD

Original Issue Date

09/17/1976

Effective Date

07/20/2017

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021