ROBERTA EUGENIA BLANDON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147113

License Status

ACTIVE

Business

Title

First Name

ROBERTA

Middle

EUGENIA

Last Name

BLANDON

Business Name

ROBERTA EUGENIA BLANDON MD

Original Issue Date

08/06/2018

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/02/2023