BLASCO MICHAEL OLIVEIRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

BLASCO MICHAEL

Last Name

OLIVEIRA

Suffix

Business Name

BLASCO MICHAEL OLIVEIRA MD

Original Issue Date

02/08/1982

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

DARIEN

State

Zip

60561

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021