BLAINE ALAN KNOX MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070600

License Status

CANCELLED

Business

Title

First Name

BLAINE

Middle

ALAN

Last Name

KNOX

Business Name

BLAINE ALAN KNOX MD

Original Issue Date

06/22/2017

Effective Date

06/22/2017

Expiration Date

06/21/2020

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/26/2017