ANDY JAY BLINT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045031

License Status

EXPIRED

Business

First Name

ANDY

Middle

JAY

Last Name

BLINT

Suffix

Business Name

ANDY JAY BLINT MD

Original Issue Date

06/24/2002

Effective Date

06/24/2002

Expiration Date

06/23/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

06/27/2008