THOMAS A BLONDIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

THOMAS A

Last Name

BLONDIS

Suffix

Business Name

THOMAS A BLONDIS MD

Original Issue Date

10/24/1989

Effective Date

06/09/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011