R SCOTT ROSENBLUM DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095297

License Status

NOT RENEWED

Business

Title

First Name

Middle

SCOTT

Last Name

ROSENBLUM

Business Name

R SCOTT ROSENBLUM DO

Original Issue Date

04/18/1997

Effective Date

08/09/2013

Expiration Date

07/31/2014

City

PHOENIX

State

Zip

85024

Ever Disciplined

LastModifiedDate

10/01/2015