KENNETH R BLAU Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016274

License Status

EXPIRED

Business

First Name

KENNETH

Middle

Last Name

BLAU

Business Name

KENNETH R BLAU

Original Issue Date

07/26/1983

Effective Date

07/26/1983

Expiration Date

09/01/1985

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006