DANIEL HANSON BLATZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135692

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

HANSON

Last Name

BLATZ

Business Name

DANIEL HANSON BLATZ MD

Original Issue Date

06/26/2014

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023