MICHAEL JOSEPH BLEND DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060480

License Status

NOT RENEWED

Business

First Name

MICHAEL JOSEPH

Last Name

BLEND

Suffix

Business Name

MICHAEL JOSEPH BLEND DO

Original Issue Date

07/10/1980

Effective Date

05/25/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014