DANIEL ANTHONY BLASCYK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

ANTHONY

Last Name

BLASCYK

Business Name

DANIEL ANTHONY BLASCYK MD

Original Issue Date

10/04/2010

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

DUNLAP

State

Zip

61525

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023