ROBERT J BLUMENTHAL DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

BLUMENTHAL

Suffix

DMD

Business Name

ROBERT J BLUMENTHAL DMD

Original Issue Date

02/24/1992

Effective Date

02/24/1992

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60639

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/13/2005