LEWIS STUART BLUMENTHAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059833

License Status

NOT RENEWED

Business

First Name

LEWIS STUART

Last Name

BLUMENTHAL

Suffix

Business Name

LEWIS STUART BLUMENTHAL MD

Original Issue Date

12/18/1979

Effective Date

08/31/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60604

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023