KEITH I BLOCK MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042617946

License Status

NOT RENEWED

Business

Business Name

KEITH I BLOCK MD SC

Original Issue Date

06/03/2003

Effective Date

06/03/2003

Expiration Date

01/01/2004

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

03/23/2009