KATHRYN A BLACKS MCNEELY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

KATHRYN A BLACKS

Last Name

MCNEELY

Suffix

Business Name

KATHRYN A BLACKS MCNEELY MD

Original Issue Date

08/07/1985

Effective Date

08/07/1985

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

09/26/2006