RICHARD ALLAN BLOCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051402

License Status

NOT RENEWED

Business

First Name

RICHARD ALLAN

Last Name

BLOCK

Suffix

Business Name

RICHARD ALLAN BLOCK MD

Original Issue Date

08/15/1975

Effective Date

07/07/2020

Expiration Date

07/31/2023

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

11/30/2023