DENNIS ROBERT BLAHA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

DENNIS ROBERT

Last Name

BLAHA

Suffix

Business Name

DENNIS ROBERT BLAHA MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1984

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006