BLASCO MICHAEL OLIVEIRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063542

License Status

NOT RENEWED

Business

First Name

BLASCO MICHAEL

Last Name

OLIVEIRA

Suffix

Business Name

BLASCO MICHAEL OLIVEIRA MD

Original Issue Date

11/13/1981

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021