BLAINE V HOUMES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022400

License Status

EXPIRED

Business

First Name

BLAINE V

Last Name

HOUMES

Suffix

Business Name

BLAINE V HOUMES MD

Original Issue Date

05/14/1988

Effective Date

05/14/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006