KEVIN JOHN BLOUNT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134189

License Status

NOT RENEWED

Business

Title

First Name

KEVIN

Middle

JOHN

Last Name

BLOUNT

Business Name

KEVIN JOHN BLOUNT MD

Original Issue Date

11/18/2013

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017