DANIEL HANSON BLATZ MD - Medical Doctor License in Illinois | # 125057458

DANIEL HANSON BLATZ MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057458

License Status

EXPIRED

Business

N

Title

MD

First Name

DANIEL

Middle

HANSON

Last Name

BLATZ

Business Name

DANIEL HANSON BLATZ MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

State

IL

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

N

LastModifiedDate

10/07/2013