ROBERT R BLANCO MD - Medical Doctor License in Illinois | # 125017572

ROBERT R BLANCO MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017572

License Status

EXPIRED

Business

N

First Name

ROBERT R

Last Name

BLANCO

Suffix

MD

Business Name

ROBERT R BLANCO MD

Original Issue Date

07/25/1984

Effective Date

07/25/1984

Expiration Date

09/01/1986

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006