BLAKE ROBERT BARKER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052452

License Status

EXPIRED

Business

First Name

BLAKE

Middle

ROBERT

Last Name

BARKER

Suffix

Business Name

BLAKE ROBERT BARKER MD

Original Issue Date

06/18/2007

Effective Date

06/18/2007

Expiration Date

06/17/2010

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/24/2010