LLOYD J BLAKEMAN III DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028575

License Status

EXPIRED

Business

Title

First Name

LLOYD

Middle

Last Name

BLAKEMAN

Suffix

III

Business Name

LLOYD J BLAKEMAN III DO

Original Issue Date

06/03/1992

Effective Date

06/03/1992

Expiration Date

06/21/1996

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006