JAVIER J DIAZ BLANCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068010

License Status

NOT RENEWED

Business

First Name

JAVIER J DIAZ

Last Name

BLANCO

Suffix

Business Name

JAVIER J DIAZ BLANCO MD

Original Issue Date

11/28/1983

Effective Date

11/28/1983

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006