Jorge Blackaller Md
ExpiredIllinois license 036037821
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 036037821
- Status
- Expired (Not Renewed)
- First issued
- June 21, 1962
- Expired
- July 31, 2017
- License holder
- Jorge Blackaller Md
- Entity type
- Individual
Classifications
- Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons
More from the license record
- Current term began
- 05/26/2014
Other Illinois licenses under this name
-
IL
InactiveBerwyn, ILExpired Jul 31, 1990
-
IL
ExpiredChicago, ILExpired Jul 31, 1993
-
IL
ExpiredRiverside, ILExpired Jul 31, 2017
Contact
Riverside, IL 60546
Cook County