BERNARD BLAAUW MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037357

License Status

INACTIVE

Business

First Name

BERNARD

Last Name

BLAAUW

Suffix

Business Name

BERNARD BLAAUW MD

Original Issue Date

09/18/1961

Effective Date

07/28/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2014