KOMLAN ETONAM BLANCHON GUEDZE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084734

License Status

ACTIVE

Business

Title

First Name

KOMLAN

Middle

ETONAM BLANCHON

Last Name

GUEDZE

Business Name

KOMLAN ETONAM BLANCHON GUEDZE MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/12/2024