THOMAS ANDREW BLASCO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

THOMAS ANDREW

Last Name

BLASCO

Suffix

Business Name

THOMAS ANDREW BLASCO MD

Original Issue Date

06/08/1987

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

MORTON GROVE

State

Zip

60053

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023