BRYAN D BLITSTEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090262

License Status

NOT RENEWED

Business

First Name

BRYAN D

Last Name

BLITSTEIN

Suffix

Business Name

BRYAN D BLITSTEIN MD

Original Issue Date

03/01/1995

Effective Date

03/01/1995

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006