BLAIR S MACPHAIL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000157

License Status

EXPIRED

Business

First Name

BLAIR

Middle

Last Name

MACPHAIL

Suffix

Business Name

BLAIR S MACPHAIL MD

Original Issue Date

05/09/2002

Effective Date

05/09/2002

Expiration Date

11/08/2002

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/23/2006