MICHAEL JERRY BLACKMER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073477

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

JERRY

Last Name

BLACKMER

Business Name

MICHAEL JERRY BLACKMER MD

Original Issue Date

08/01/2019

Effective Date

08/01/2019

Expiration Date

07/31/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Adult Reconstructive Orthopedics

Ever Disciplined

LastModifiedDate

11/19/2020