JOANNA SARAH BLACKBURN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054961

License Status

EXPIRED

Business

Title

First Name

JOANNA

Middle

SARAH

Last Name

BLACKBURN

Business Name

JOANNA SARAH BLACKBURN MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Child Neurology

Ever Disciplined

LastModifiedDate

07/19/2011