MELISSA A BLANCO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002766

License Status

ACTIVE

Business

First Name

MELISSA

Middle

Last Name

BLANCO

Business Name

MELISSA A BLANCO

Original Issue Date

08/08/2006

Effective Date

12/12/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

12/12/2025