JENNIFER MELISSA BLAIR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

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

07/28/2008

Expiration Date

07/31/2011

City

AURORA

State

Zip

60504

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017