RAUL ANTONIO BLANCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

RAUL ANTONIO

Last Name

BLANCO

Suffix

Business Name

RAUL ANTONIO BLANCO MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60660

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006