THOMAS ANDREW BLASCO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064962

License Status

ACTIVE

Business

First Name

THOMAS ANDREW

Last Name

BLASCO

Suffix

Business Name

THOMAS ANDREW BLASCO MD

Original Issue Date

07/30/1982

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

05/16/2023