COURTNEY JACKSON BLAIR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113297

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

JACKSON

Last Name

BLAIR

Business Name

COURTNEY JACKSON BLAIR

Original Issue Date

03/21/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008