NIDA B BLANKAS-HERNAEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

NIDA B

Last Name

BLANKAS-HERNAEZ

Suffix

Business Name

NIDA B BLANKAS-HERNAEZ MD

Original Issue Date

01/15/1992

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

NILES

State

Zip

60714

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023