ROBERT R BLANCO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017572

License Status

EXPIRED

Business

First Name

ROBERT R

Last Name

BLANCO

Suffix

Business Name

ROBERT R BLANCO MD

Original Issue Date

07/25/1984

Effective Date

07/25/1984

Expiration Date

09/01/1986

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006