RYAN B BLANCO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127840

License Status

ACTIVE

Business

Title

First Name

RYAN

Middle

Last Name

BLANCO

Business Name

RYAN B BLANCO DO

Original Issue Date

05/12/2011

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

06/16/2023