BLAKE ANDREW KANDAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067864

License Status

EXPIRED

Business

Title

First Name

BLAKE

Middle

ANDREW

Last Name

KANDAH

Business Name

BLAKE ANDREW KANDAH MD

Original Issue Date

06/25/2015

Effective Date

06/25/2015

Expiration Date

06/24/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/16/2016