AMY LOUISE BLAIS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107576

License Status

ACTIVE

Business

First Name

AMY

Middle

LOUISE

Last Name

BLAIS

Suffix

Business Name

AMY LOUISE BLAIS DO

Original Issue Date

07/31/2002

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

04/07/2023