DANIEL HANSON BLATZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057458

License Status

EXPIRED

Business

Title

First Name

DANIEL

Middle

HANSON

Last Name

BLATZ

Business Name

DANIEL HANSON BLATZ MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

10/07/2013