ERIC MICHAEL BLASCHKE MD - Medical Doctor License in Illinois | # 125058249

ERIC MICHAEL BLASCHKE MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058249

License Status

EXPIRED

Business

N

Title

MD

First Name

ERIC

Middle

MICHAEL

Last Name

BLASCHKE

Business Name

ERIC MICHAEL BLASCHKE MD

Original Issue Date

06/24/2010

Effective Date

06/24/2010

Expiration Date

06/23/2013

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

10/07/2013