DAVID E BLANCHARD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

BLANCHARD

Business Name

DAVID E BLANCHARD

Original Issue Date

02/04/1998

Effective Date

02/04/1998

Expiration Date

07/31/1999

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006