PHILIP BLANCO ANTIPORTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133199

License Status

ACTIVE

Business

Title

First Name

PHILIP

Middle

BLANCO

Last Name

ANTIPORTA

Business Name

PHILIP BLANCO ANTIPORTA MD

Original Issue Date

06/07/2013

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

IRVING

State

Zip

75039

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2023