SPENCER LEE BLACKMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145190

License Status

ACTIVE

Business

Title

First Name

SPENCER

Middle

LEE

Last Name

BLACKMAN

Business Name

SPENCER LEE BLACKMAN MD

Original Issue Date

02/26/2018

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60602

Ever Disciplined

LastModifiedDate

06/22/2023