JOCELYN M BLAKE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000780

License Status

EXPIRED

Business

First Name

JOCELYN

Middle

Last Name

BLAKE

Suffix

Business Name

JOCELYN M BLAKE MD

Original Issue Date

02/09/2009

Effective Date

02/09/2009

Expiration Date

03/08/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/18/2009