BRADFORD PAUL BLAKEMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060663

License Status

ACTIVE

Business

First Name

BRADFORD PAUL

Last Name

BLAKEMAN

Suffix

Business Name

BRADFORD PAUL BLAKEMAN MD

Original Issue Date

07/25/1980

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/18/2023