CARLOS JAVIER BLANCO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157074

License Status

ACTIVE

Business

Title

First Name

CARLOS

Middle

JAVIER

Last Name

BLANCO

Business Name

CARLOS JAVIER BLANCO MD

Original Issue Date

05/24/2021

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/13/2023