BLAKE BAILEY ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134720

License Status

NOT RENEWED

Business

Title

First Name

BLAKE

Middle

BAILEY

Last Name

ANDERSON

Business Name

BLAKE BAILEY ANDERSON MD

Original Issue Date

03/03/2014

Effective Date

06/05/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017