BERNARD BLAAUW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

BERNARD

Last Name

BLAAUW

Suffix

Business Name

BERNARD BLAAUW MD

Original Issue Date

01/01/1997

Effective Date

07/28/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017