ALEXANDER MARIA BLACHOWICZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076896

License Status

CANCELLED

Business

Title

First Name

ALEXANDER

Middle

MARIA

Last Name

BLACHOWICZ

Business Name

ALEXANDER MARIA BLACHOWICZ MD

Original Issue Date

06/22/2020

Effective Date

06/22/2020

Expiration Date

06/21/2023

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/09/2020