ANGEL R BLAZQUEZ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085614

License Status

ACTIVE

Business

First Name

ANGEL R

Last Name

BLAZQUEZ

Business Name

ANGEL R BLAZQUEZ

Original Issue Date

11/12/1992

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

07/12/2023