NIDA B BLANKAS-HERNAEZ MD - Medical Doctor License in Illinois | # 125024203

NIDA B BLANKAS-HERNAEZ MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024203

License Status

EXPIRED

Business

N

First Name

NIDA B

Last Name

BLANKAS-HERNAEZ

Suffix

MD

Business Name

NIDA B BLANKAS-HERNAEZ MD

Original Issue Date

06/22/1989

Effective Date

06/22/1989

Expiration Date

06/25/1992

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006