BLAKE A SMITH Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004391

License Status

ACTIVE

Business

First Name

BLAKE A

Last Name

SMITH

Business Name

BLAKE A SMITH

Original Issue Date

10/11/1989

Effective Date

12/04/2024

Expiration Date

01/31/2027

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/26/2025