SCOTT BLASZAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075349

License Status

CANCELLED

Business

Title

First Name

SCOTT

Last Name

BLASZAK

Prefix

Business Name

SCOTT BLASZAK MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

01/07/2020