ROBERTA EUGENIA BLANDON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

Title

First Name

ROBERTA

Middle

EUGENIA

Last Name

BLANDON

Business Name

ROBERTA EUGENIA BLANDON MD

Original Issue Date

09/18/2018

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023