ALLIE KIERAN BLACKBURN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043058

License Status

EXPIRED

Business

First Name

ALLIE

Middle

KIERAN

Last Name

BLACKBURN

Suffix

Business Name

ALLIE KIERAN BLACKBURN MD

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

07/12/2006

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006