BLAKE EVAN FLEEMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135438

License Status

NOT RENEWED

Business

Title

First Name

BLAKE

Middle

EVAN

Last Name

FLEEMAN

Business Name

BLAKE EVAN FLEEMAN MD

Original Issue Date

06/09/2014

Effective Date

06/09/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017