BLANCA ANAIS ESTUPINAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073009

License Status

EXPIRED

Business

Title

First Name

BLANCA

Middle

ANAIS

Last Name

ESTUPINAN

Business Name

BLANCA ANAIS ESTUPINAN MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

10/30/2024