MICHAEL BLASCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158067

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Last Name

BLASCO

Business Name

MICHAEL BLASCO MD

Original Issue Date

08/19/2021

Effective Date

08/19/2021

Expiration Date

07/31/2023

City

ROCHESTER

State

Zip

14604

Ever Disciplined

LastModifiedDate

11/30/2023