HANS ERNST BLUNCK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069588

License Status

CANCELLED

Business

Title

First Name

HANS

Middle

ERNST

Last Name

BLUNCK

Business Name

HANS ERNST BLUNCK MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/29/2019