JOSEPH JOHN BLAZUK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060656

License Status

EXPIRED

Business

First Name

JOSEPH

Middle

JOHN

Last Name

BLAZUK

Suffix

Business Name

JOSEPH JOHN BLAZUK MD

Original Issue Date

07/05/2011

Effective Date

07/05/2011

Expiration Date

07/04/2014

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

03/13/2015