STANLEY A BLUMENTHAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085581

License Status

NOT RENEWED

Business

First Name

STANLEY

Middle

Last Name

BLUMENTHAL

Suffix

Business Name

STANLEY A BLUMENTHAL MD

Original Issue Date

11/05/1992

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021