GERALD BLANDFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065398

License Status

NOT RENEWED

Business

First Name

GERALD

Last Name

BLANDFORD

Suffix

Business Name

GERALD BLANDFORD MD

Original Issue Date

10/06/1982

Effective Date

10/06/1982

Expiration Date

07/31/1987

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006