OLIVIA BLAZEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160702

License Status

NOT RENEWED

Business

Title

First Name

OLIVIA

Last Name

BLAZEK

Business Name

OLIVIA BLAZEK MD

Original Issue Date

05/27/2022

Effective Date

05/27/2022

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023