THOMAS ANDREW BLASCO MD - Medical Doctor License in Illinois | # 125013385

THOMAS ANDREW BLASCO MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013385

License Status

EXPIRED

Business

N

First Name

THOMAS ANDREW

Last Name

BLASCO

Suffix

MD

Business Name

THOMAS ANDREW BLASCO MD

Original Issue Date

07/24/1981

Effective Date

07/24/1981

Expiration Date

07/01/1983

State

IL

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006