NIDA B BLANKAS-HERNAEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024203

License Status

EXPIRED

Business

First Name

NIDA B

Last Name

BLANKAS-HERNAEZ

Suffix

Business Name

NIDA B BLANKAS-HERNAEZ MD

Original Issue Date

06/22/1989

Effective Date

06/22/1989

Expiration Date

06/25/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006