KATHERINE MARIE BLAKE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136377

License Status

ACTIVE

Business

Title

First Name

KATHERINE

Middle

MARIE

Last Name

BLAKE

Business Name

KATHERINE MARIE BLAKE DO

Original Issue Date

09/02/2014

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

04/06/2023