BLAKE ANTHONY JONES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

BLAKE

Middle

ANTHONY

Last Name

JONES

Business Name

BLAKE ANTHONY JONES MD

Original Issue Date

10/20/2023

Effective Date

10/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/20/2023