PALMER J BLAKLEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025549

License Status

EXPIRED

Business

First Name

PALMER J

Last Name

BLAKLEY

Suffix

Business Name

PALMER J BLAKLEY MD

Original Issue Date

06/19/1990

Effective Date

06/19/1990

Expiration Date

06/30/1993

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006