BLAKE W PERKINS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

Title

First Name

BLAKE

Middle

Last Name

PERKINS

Business Name

BLAKE W PERKINS MD

Original Issue Date

06/25/2018

Effective Date

07/05/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/05/2023