THOMAS A BLANCHETTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001006

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

Last Name

BLANCHETTE

Business Name

THOMAS A BLANCHETTE MD

Original Issue Date

07/03/2014

Effective Date

07/03/2014

Expiration Date

01/02/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/18/2015