Renee L Blaha
ExpiredIllinois license 38*****89
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****89
- Status
- Expired (Not Renewed)
- First issued
- April 12, 2004
- Expired
- March 1, 2006
- License holder
- Renee L Blaha
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Current term began
- 04/12/2004
Other Illinois licenses under this name
-
IL
InactiveAshland, WIExpired Mar 1, 2006
Contact
Freeport, IL 61032
Stephenson County