DANIEL ANTHONY BLASCYK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054708

License Status

EXPIRED

Business

Title

First Name

DANIEL

Middle

ANTHONY

Last Name

BLASCYK

Business Name

DANIEL ANTHONY BLASCYK MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

DULUTH

State

Zip

55803

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

07/19/2011