DMITRY BLUMENKRANTS MD - Medical Doctor License in Illinois | # 125060474

DMITRY BLUMENKRANTS MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060474

License Status

CANCELLED

Business

N

Title

MD

First Name

DMITRY

Last Name

BLUMENKRANTS

Business Name

DMITRY BLUMENKRANTS MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2014

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

06/24/2011