ROBERT E BLEASE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000612

License Status

EXPIRED

Business

First Name

ROBERT

Middle

Last Name

BLEASE

Suffix

Business Name

ROBERT E BLEASE MD

Original Issue Date

01/01/2004

Effective Date

01/01/2004

Expiration Date

04/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/25/2006