JULIE R BLANKEMEIER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

JULIE R

Last Name

BLANKEMEIER

Suffix

Business Name

JULIE R BLANKEMEIER MD

Original Issue Date

11/30/1992

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023