BLAKE LOUIS WILLIAMS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068829

License Status

EXPIRED

Business

Title

First Name

BLAKE

Middle

LOUIS

Last Name

WILLIAMS

Business Name

BLAKE LOUIS WILLIAMS MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

11/19/2020