DIONNE J BLACKMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

DIONNE

Middle

Last Name

BLACKMAN

Suffix

Business Name

DIONNE J BLACKMAN MD

Original Issue Date

07/22/1999

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023