ANDREW BLATT THOMPSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062955

License Status

CANCELLED

Business

First Name

ANDREW

Middle

BLATT

Last Name

THOMPSON

Suffix

Business Name

ANDREW BLATT THOMPSON MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

City

RIVERSIDE

State

Zip

60546

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014