BRYAN D BLITSTEIN MD - Medical Doctor License in Illinois | # 125027809

BRYAN D BLITSTEIN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027809

License Status

EXPIRED

Business

N

First Name

BRYAN D

Last Name

BLITSTEIN

Suffix

MD

Business Name

BRYAN D BLITSTEIN MD

Original Issue Date

04/30/1992

Effective Date

04/30/1992

Expiration Date

06/30/1995

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006