BLAINE FRANCIS WASHINGTON II MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050122

License Status

CANCELLED

Business

First Name

BLAINE

Middle

FRANCIS

Last Name

WASHINGTON II

Suffix

Business Name

BLAINE FRANCIS WASHINGTON II MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

03/26/2008