IRA BENNETT KORNBLATT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055035

License Status

NOT RENEWED

Business

First Name

IRA BENNETT

Last Name

KORNBLATT

Suffix

Business Name

IRA BENNETT KORNBLATT MD

Original Issue Date

07/18/1977

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

11/01/2017