BLAKE DAVID ALBERTS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064560

License Status

EXPIRED

Business

Title

First Name

BLAKE

Middle

DAVID

Last Name

ALBERTS

Business Name

BLAKE DAVID ALBERTS MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/19/2017