BLAINE FRANCIS WASHINGTON II MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

BLAINE

Middle

FRANCIS

Last Name

WASHINGTON II

Suffix

Business Name

BLAINE FRANCIS WASHINGTON II MD

Original Issue Date

07/13/2009

Effective Date

09/29/2020

Expiration Date

07/31/2023

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023