JOHN PAUL BLANK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

JOHN PAUL

Last Name

BLANK

Suffix

Business Name

JOHN PAUL BLANK MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006