MORRIS A BLOUNT JR Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034964

License Status

CANCELLED

Business

First Name

MORRIS

Middle

Last Name

BLOUNT JR

Business Name

MORRIS A BLOUNT JR

Original Issue Date

06/12/1996

Effective Date

06/12/1996

Expiration Date

06/30/1999

City

CHCIAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006