MARIA ANTONIA BANAL-BLANCAFLOR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029252

License Status

EXPIRED

Business

First Name

MARIA ANTONIA

Last Name

BANAL-BLANCAFLOR

Business Name

MARIA ANTONIA BANAL-BLANCAFLOR

Original Issue Date

04/15/1993

Effective Date

04/15/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006