CORINNE M BLUM - Medical Doctor License in Illinois | # 125044820

CORINNE M BLUM

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044820

License Status

EXPIRED

Business

N

First Name

CORINNE

Middle

M

Last Name

BLUM

Business Name

CORINNE M BLUM

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006