ANDREA LAUREN BLITZER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070632

License Status

EXPIRED

Business

Title

First Name

ANDREA

Middle

LAUREN

Last Name

BLITZER

Business Name

ANDREA LAUREN BLITZER MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

10/11/2022