MICHAEL JOSE BLANCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143303

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

JOSE

Last Name

BLANCO

Business Name

MICHAEL JOSE BLANCO MD

Original Issue Date

05/30/2017

Effective Date

05/30/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021