Jason Blake Do

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

125078351

Status

Inactive (Cancelled)

First issued

July 1, 2021

Expired

June 30, 2024

License holder

Jason Blake

Entity type

Individual

Classifications

• Temporary Medical Permit Physicians & Surgeons

More from the license record

Specialty

Anesthesiology

Current term began

07/01/2021

Other Illinois licenses under this name

• IL
  Jason Blake Do

  License 036167471 · Jason Blake

  Licensed Physician and Surgeon (Medical Board)
  Active

  Maywood, IL

  Expired Aug 31, 2026
• IL
  Jason Blake Do

  License 33*****68 · Jason Blake

  Licensed Physician Controlled Substance (Medical Board)
  Active

  Maywood, IL

  Expired Aug 31, 2026

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