KELLY ELISE BLAIR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164728

License Status

ACTIVE

Business

Title

First Name

KELLY

Middle

ELISE

Last Name

BLAIR

Business Name

KELLY ELISE BLAIR MD

Original Issue Date

05/16/2023

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/16/2023