ALAN TODD BLANK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143678

License Status

ACTIVE

Business

Title

First Name

ALAN

Middle

TODD

Last Name

BLANK

Business Name

ALAN TODD BLANK MD

Original Issue Date

06/27/2017

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

04/18/2023