DAVID E BLANCHARD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

BLANCHARD

Business Name

DAVID E BLANCHARD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006