BLASE N POLITE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108110

License Status

ACTIVE

Business

First Name

BLASE

Middle

Last Name

POLITE

Business Name

BLASE N POLITE

Original Issue Date

11/01/2002

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2023