DANIEL ANTHONY BLASCYK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126724

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

ANTHONY

Last Name

BLASCYK

Business Name

DANIEL ANTHONY BLASCYK MD

Original Issue Date

10/04/2010

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

DUNLAP

State

Zip

61525

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/27/2023