DARYL LEE GILDENBLATT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062804

License Status

NOT RENEWED

Business

First Name

DARYL LEE

Last Name

GILDENBLATT

Suffix

Business Name

DARYL LEE GILDENBLATT MD

Original Issue Date

08/14/1981

Effective Date

08/14/1981

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006