Gregory W Blank
InactiveIllinois license 085002018
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085002018
- Status
- Inactive
- First issued
- July 2, 2003
- Expired
- March 1, 2006
- License holder
- Gregory W Blank
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 07/02/2003
Contact
Springfield, IL 62707
Sangamon County