MARTIN R BLUM - Medical Doctor License in Illinois | # 125025850

MARTIN R BLUM

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025850

License Status

EXPIRED

Business

N

First Name

MARTIN

Middle

R

Last Name

BLUM

Business Name

MARTIN R BLUM

Original Issue Date

07/06/1990

Effective Date

07/06/1990

Expiration Date

07/05/1993

State

IL

Specialty/Qualifier

Nuclear Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006