ZIAD BLAIK 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

ZIAD

Last Name

BLAIK

Suffix

Business Name

ZIAD BLAIK MD

Original Issue Date

09/23/1983

Effective Date

09/23/1983

Expiration Date

07/31/1987

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006