MICHAEL B BLOTNER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066332

License Status

INACTIVE

Business

First Name

MICHAEL B

Last Name

BLOTNER

Suffix

Business Name

MICHAEL B BLOTNER MD

Original Issue Date

03/25/1983

Effective Date

03/25/1983

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006