BLANCA MELISSA BALDOCEDA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112358

License Status

ACTIVE

Business

First Name

BLANCA

Middle

MELISSA

Last Name

BALDOCEDA

Suffix

Business Name

BLANCA MELISSA BALDOCEDA MD

Original Issue Date

09/16/2004

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023