NINA C BLUMENTHAL - Medical Doctor License in Illinois | # 125018474

NINA C BLUMENTHAL

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018474

License Status

EXPIRED

Business

N

First Name

NINA

Middle

C

Last Name

BLUMENTHAL

Business Name

NINA C BLUMENTHAL

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

07/01/1988

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006