License Directory

Richard Martin Blaine Md

Inactive

Illinois license 036037030

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036037030
Status
Inactive
First issued
December 15, 1960
Expired
July 31, 1999
License holder
Richard Martin Blaine Md
Entity type
Individual

Classifications

More from the license record

Current term began
12/15/1960

Other Illinois licenses under this name

  • IL
    Richard Martin Blaine Md
    License 33*****74
    Licensed Physician Controlled Substance (Medical Board)
    Inactive
    Park Ridge, IL
    Expired Jul 31, 1999

Contact

Park Ridge, IL 60068
Cook County