MORGAN C BLAKE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169521

License Status

ACTIVE

Business

Title

First Name

MORGAN

Middle

Last Name

BLAKE

Business Name

MORGAN C BLAKE DO

Original Issue Date

03/26/2024

Effective Date

03/26/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

03/26/2024