PALMER J BLAKLEY MD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041150536

License Status

NOT RENEWED

Business

First Name

PALMER J

Last Name

BLAKLEY

Suffix

Business Name

PALMER J BLAKLEY MD

Original Issue Date

10/03/1973

Effective Date

10/03/1973

Expiration Date

05/31/1994

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006