SCOTT BLASZAK MD - Medical Doctor License in Illinois | # 125075349

SCOTT BLASZAK MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075349

License Status

CANCELLED

Business

N

Title

MD

First Name

SCOTT

Last Name

BLASZAK

Prefix

MR

Business Name

SCOTT BLASZAK MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

State

IL

Specialty/Qualifier

Dermatology

Ever Disciplined

N

LastModifiedDate

01/07/2020