JOHN NICHOLAS BLIZZARD MD - Medical Doctor License in Illinois | # 125077891

JOHN NICHOLAS BLIZZARD MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077891

License Status

EXPIRED

Business

N

Title

MD

First Name

JOHN

Middle

NICHOLAS

Last Name

BLIZZARD

Business Name

JOHN NICHOLAS BLIZZARD MD

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2024

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

10/30/2024