ANTHONY BLAKE HILLENBRAND DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042338

License Status

EXPIRED

Business

First Name

ANTHONY

Middle

BLAKE

Last Name

HILLENBRAND

Suffix

Business Name

ANTHONY BLAKE HILLENBRAND DO

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006