ERIC MICHAEL BLASCHKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

Title

First Name

ERIC

Middle

MICHAEL

Last Name

BLASCHKE

Business Name

ERIC MICHAEL BLASCHKE MD

Original Issue Date

08/22/2012

Effective Date

06/03/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017