DANIEL ANTHONY BLASCYK MD
Temporary Medical Permit
Illinois 125054708 Expired
This Illinois license was held by DANIEL ANTHONY BLASCYK MD. The license is no longer active. It was granted on 06/04/2008 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 125054708
- Category: TEMPORARY MEDICAL PERMIT
- Status: Expired
- Date Granted: 06/04/2008 (about 17 years ago)
- Expiry Date: 06/30/2011 (almost 14 years ago)
LOCATIONS
A Address
ASHLAND, WI 54806