BLANCA MELISSA BALDOCEDA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042818

License Status

EXPIRED

Business

First Name

BLANCA

Middle

MELISSA

Last Name

BALDOCEDA

Suffix

Business Name

BLANCA MELISSA BALDOCEDA MD

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006