JEFFREY A BLONDER MD Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042006185

License Status

NOT RENEWED

Business

Business Name

JEFFREY A BLONDER MD

Original Issue Date

05/04/1987

Effective Date

05/04/1987

Expiration Date

01/01/1995

City

HIGHLAND PARK

State

Zip

60035

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006