WILLIAM K BLAYLOCK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019370

License Status

EXPIRED

Business

First Name

WILLIAM K

Last Name

BLAYLOCK

Suffix

Business Name

WILLIAM K BLAYLOCK MD

Original Issue Date

06/12/1986

Effective Date

06/12/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006