DAVID GOLDBLATT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066389

License Status

NOT RENEWED

Business

First Name

DAVID

Last Name

GOLDBLATT

Suffix

Business Name

DAVID GOLDBLATT MD

Original Issue Date

04/13/1983

Effective Date

04/13/1983

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006