ANDREW BLATT THOMPSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

ANDREW

Middle

BLATT

Last Name

THOMPSON

Suffix

Business Name

ANDREW BLATT THOMPSON MD

Original Issue Date

02/22/2016

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023