THOMAS ANDREW BLASCO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013385

License Status

EXPIRED

Business

First Name

THOMAS ANDREW

Last Name

BLASCO

Suffix

Business Name

THOMAS ANDREW BLASCO MD

Original Issue Date

07/24/1981

Effective Date

07/24/1981

Expiration Date

07/01/1983

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006