JOANNA SARAH BLACKBURN 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

JOANNA

Middle

SARAH

Last Name

BLACKBURN

Business Name

JOANNA SARAH BLACKBURN MD

Original Issue Date

06/19/2012

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023