TINA FRUSCIONE BLACHUT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128628

License Status

ACTIVE

Business

Title

First Name

TINA

Middle

FRUSCIONE

Last Name

BLACHUT

Business Name

TINA FRUSCIONE BLACHUT DO

Original Issue Date

07/26/2011

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

07/08/2023