KEVIN GERARD ULLOA BLAS MD - Medical Doctor License in Illinois | # 188000734

KEVIN GERARD ULLOA BLAS MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000734

License Status

EXPIRED

Business

N

Title

MD

First Name

KEVIN

Middle

GERARD ULLOA

Last Name

BLAS

Business Name

KEVIN GERARD ULLOA BLAS MD

Original Issue Date

03/13/2017

Effective Date

03/13/2017

Expiration Date

09/12/2017

State

IL

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

N

LastModifiedDate

11/01/2017