JENNIFER MELISSA BLAIR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

MELISSA

Last Name

BLAIR

Suffix

Business Name

JENNIFER MELISSA BLAIR MD

Original Issue Date

04/25/2007

Effective Date

04/25/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017