EDWARD BERNARD BLAIR JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060205

License Status

NOT RENEWED

Business

First Name

EDWARD BERNARD

Last Name

BLAIR JR

Suffix

Business Name

EDWARD BERNARD BLAIR JR MD

Original Issue Date

04/11/1980

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

11/01/2017