DANIEL HANSON BLATZ MD - Medical Doctor License in Illinois | # 036135692

DANIEL HANSON BLATZ MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135692

License Status

NOT RENEWED

Business

N

Title

MD

First Name

DANIEL

Middle

HANSON

Last Name

BLATZ

Business Name

DANIEL HANSON BLATZ MD

Original Issue Date

06/26/2014

Effective Date

06/10/2020

Expiration Date

07/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

11/30/2023