BENNETT LLOYD BLITZER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055081

License Status

NOT RENEWED

Business

First Name

BENNETT LLOYD

Last Name

BLITZER

Suffix

Business Name

BENNETT LLOYD BLITZER MD

Original Issue Date

07/18/1977

Effective Date

07/18/1977

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006