JOSEPH M BLATT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014487

License Status

EXPIRED

Business

First Name

JOSEPH

Middle

Last Name

BLATT

Business Name

JOSEPH M BLATT

Original Issue Date

06/25/1982

Effective Date

06/25/1982

Expiration Date

07/01/1984

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006