DOUGLAS H BLUMENTHAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061361

License Status

NOT RENEWED

Business

First Name

DOUGLAS H

Last Name

BLUMENTHAL

Suffix

Business Name

DOUGLAS H BLUMENTHAL MD

Original Issue Date

12/03/1980

Effective Date

12/03/1980

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006