LYNN WALDO BLUNT JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

LYNN

Middle

WALDO

Last Name

BLUNT

Suffix

Business Name

LYNN WALDO BLUNT JR

Original Issue Date

04/17/2003

Effective Date

04/17/2003

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/06/2008