BRADFORD PAUL BLAKEMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

First Name

BRADFORD PAUL

Last Name

BLAKEMAN

Suffix

Business Name

BRADFORD PAUL BLAKEMAN MD

Original Issue Date

01/01/1997

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023