JAVIER J DIAZ BLANCO MD - Medical Doctor License in Illinois | # 036068010

JAVIER J DIAZ BLANCO MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068010

License Status

NOT RENEWED

Business

N

First Name

JAVIER J DIAZ

Last Name

BLANCO

Suffix

MD

Business Name

JAVIER J DIAZ BLANCO MD

Original Issue Date

11/28/1983

Effective Date

11/28/1983

Expiration Date

07/31/1987

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006