ERIC MICHAEL BLASCHKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131223

License Status

NOT RENEWED

Business

Title

First Name

ERIC

Middle

MICHAEL

Last Name

BLASCHKE

Business Name

ERIC MICHAEL BLASCHKE MD

Original Issue Date

08/22/2012

Effective Date

06/03/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017