DOROTHY KATHERINE BLONIARZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

Title

First Name

DOROTHY

Middle

KATHERINE

Last Name

BLONIARZ

Business Name

DOROTHY KATHERINE BLONIARZ MD

Original Issue Date

10/19/2011

Effective Date

05/07/2023

Expiration Date

07/31/2026

City

NILES

State

Zip

60714

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2023