KEVIN GERARD ULLOA BLAS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000734

License Status

EXPIRED

Business

Title

First Name

KEVIN

Middle

GERARD ULLOA

Last Name

BLAS

Business Name

KEVIN GERARD ULLOA BLAS MD

Original Issue Date

03/13/2017

Effective Date

03/13/2017

Expiration Date

09/12/2017

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

11/01/2017