MARK R BLAIS DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

MARK R

Last Name

BLAIS

Suffix

DPM

Business Name

MARK R BLAIS DPM

Original Issue Date

07/07/1987

Effective Date

07/07/1987

Expiration Date

01/31/1989

City

OAK FOREST

State

Zip

60452

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006