Blake Thomas Moskal Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

125078826

Status

Inactive (Cancelled)

First issued

June 25, 2021

Expired

June 24, 2024

License holder

Blake Thomas Moskal

Entity type

Individual

Classifications

• Temporary Medical Permit Physicians & Surgeons

More from the license record

Specialty

Internal Medicine

Current term began

06/25/2021

Other Illinois licenses under this name

• IL
  Blake Thomas Moskal Md

  License 036166615 · Blake Thomas Moskal

  Licensed Physician and Surgeon (Medical Board)
  Active

  Park Ridge, IL

  Expires Jul 31, 2029
• IL
  Blake Thomas Moskal Md

  License 049210879 · Blake Thomas Moskal

  Pharmacy Technician
  Expired

  Lake Zurich, IL

  Expired Mar 31, 2014
• IL
  Blake Thomas Moskal Md

  License 33*****63 · Blake Thomas Moskal

  Licensed Physician Controlled Substance (Medical Board)
  Active

  Park Ridge, IL

  Expires Jul 31, 2029

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