LYNN WALDO BLUNT JR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036490

License Status

EXPIRED

Business

First Name

LYNN

Middle

WALDO

Last Name

BLUNT

Suffix

Business Name

LYNN WALDO BLUNT JR

Original Issue Date

06/06/1997

Effective Date

06/06/1997

Expiration Date

06/16/2001

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/22/2006