MANUEL P BLAS MD - Medical Doctor License in Illinois | # 036045525

MANUEL P BLAS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045525

License Status

NOT RENEWED

Business

N

First Name

MANUEL P

Last Name

BLAS

Suffix

MD

Business Name

MANUEL P BLAS MD

Original Issue Date

03/27/1972

Effective Date

07/07/2020

Expiration Date

07/31/2023

State

IL

Ever Disciplined

Y

LastModifiedDate

11/30/2023

Case Number

2018001582

Action

Permanent Inactive

Discipline Start Date

09/28/2020

Discipline Reason

license restored from probation to permanent inactive status.