ANDREA LAUREN BLITZER MD - Medical Doctor License in Illinois | # 125070632

ANDREA LAUREN BLITZER MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070632

License Status

EXPIRED

Business

N

Title

MD

First Name

ANDREA

Middle

LAUREN

Last Name

BLITZER

Business Name

ANDREA LAUREN BLITZER MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

State

IL

Specialty/Qualifier

Ophthalmology

Ever Disciplined

N

LastModifiedDate

10/11/2022