MICHAEL D BLUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061189

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

Last Name

BLUM

Business Name

MICHAEL D BLUM MD

Original Issue Date

11/12/1980

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

04/07/2023