ALECIA MARIE BLASZCZAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078031

License Status

EXPIRED

Business

Title

First Name

ALECIA

Middle

MARIE

Last Name

BLASZCZAK

Business Name

ALECIA MARIE BLASZCZAK MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

10/30/2024