AMY LOUISE BLAIS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039874

License Status

EXPIRED

Business

First Name

AMY

Middle

LOUISE

Last Name

BLAIS

Suffix

Business Name

AMY LOUISE BLAIS DO

Original Issue Date

06/23/1999

Effective Date

06/23/1999

Expiration Date

06/22/2002

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006