PALMER J BLAKLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

PALMER J

Last Name

BLAKLEY

Suffix

Business Name

PALMER J BLAKLEY MD

Original Issue Date

06/23/1995

Effective Date

06/23/1995

Expiration Date

07/31/1999

City

JOLIET

State

Zip

60432

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020