MANUEL B BLANCO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016408

License Status

EXPIRED

Business

First Name

MANUEL

Middle

Last Name

BLANCO

Business Name

MANUEL B BLANCO

Original Issue Date

09/28/1983

Effective Date

09/28/1983

Expiration Date

10/19/1985

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006