BLANCA MELISSA BALDOCEDA MD - Medical Doctor License in Illinois | # 125042818

BLANCA MELISSA BALDOCEDA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042818

License Status

EXPIRED

Business

N

First Name

BLANCA

Middle

MELISSA

Last Name

BALDOCEDA

Suffix

MD

Business Name

BLANCA MELISSA BALDOCEDA MD

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006