WAYNE J BLASZAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

WAYNE J

Last Name

BLASZAK

Suffix

Business Name

WAYNE J BLASZAK MD

Original Issue Date

07/21/1989

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023