EUGENE RICHARD BLONSKY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036972

License Status

NOT RENEWED

Business

First Name

EUGENE RICHARD

Last Name

BLONSKY

Suffix

Business Name

EUGENE RICHARD BLONSKY MD

Original Issue Date

12/01/1960

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011