JAYJAY ZABALA BLANCO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068471

License Status

EXPIRED

Business

Title

First Name

JAYJAY

Middle

ZABALA

Last Name

BLANCO

Business Name

JAYJAY ZABALA BLANCO MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

11/19/2020