BLONDELL A GAGE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027812

License Status

EXPIRED

Business

First Name

BLONDELL A

Last Name

GAGE

Suffix

Business Name

BLONDELL A GAGE MD

Original Issue Date

04/30/1992

Effective Date

04/30/1992

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006