WILLIAM STEPHEN BLAKEMORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062335

License Status

NOT RENEWED

Business

First Name

WILLIAM STEPHEN

Last Name

BLAKEMORE

Suffix

Business Name

WILLIAM STEPHEN BLAKEMORE MD

Original Issue Date

06/16/1981

Effective Date

06/16/1981

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006