MARK LEWIS BLUMENKEHL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062791

License Status

NOT RENEWED

Business

First Name

MARK LEWIS

Last Name

BLUMENKEHL

Suffix

Business Name

MARK LEWIS BLUMENKEHL MD

Original Issue Date

08/14/1981

Effective Date

08/14/1981

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006