ERIC MICHAEL BLASCHKE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058249

License Status

EXPIRED

Business

Title

First Name

ERIC

Middle

MICHAEL

Last Name

BLASCHKE

Business Name

ERIC MICHAEL BLASCHKE MD

Original Issue Date

06/24/2010

Effective Date

06/24/2010

Expiration Date

06/23/2013

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

10/07/2013