BLANCA VELEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057052

License Status

CANCELLED

Business

First Name

BLANCA

Last Name

VELEZ

Suffix

Business Name

BLANCA VELEZ MD

Original Issue Date

06/18/2009

Effective Date

06/18/2009

Expiration Date

06/17/2012

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/18/2009