BLAKE MICHAEL TROIANI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061682

License Status

CANCELLED

Business

Title

First Name

BLAKE

Middle

MICHAEL

Last Name

TROIANI

Business Name

BLAKE MICHAEL TROIANI MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

03/24/2014