BLAINE AUSTIN MINTON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162740

License Status

ACTIVE

Business

Title

First Name

BLAINE

Middle

AUSTIN

Last Name

MINTON

Business Name

BLAINE AUSTIN MINTON DO

Original Issue Date

10/28/2022

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/22/2023